SGLT2 Inhibitors in Patients with Chronic Kidney Disease and Heart Disease: A Literature Review

Methodist Debakey Cardiovasc J. 2022 Sep 6;18(4):62-72. doi: 10.14797/mdcvj.1120. eCollection 2022.

Abstract

Sodium-glucose transport protein 2 inhibitors, commonly referred to as SGLT2i, are a group of prescription pharmaceuticals that are approved by the United States Food and Drug Administration for use with diet and exercise to lower blood glucose in adults with type 2 diabetes. Diabetes is a well-recognized major contributor to cardiovascular and renal disease burden. In addition to blood glucose control, SGLT2i have been shown to provide significant cardiovascular and renoprotective benefits in patients with and without diabetes. In this review, we describe current evidence related to the renal and cardiovascular benefits of using SGLT2i.

Keywords: DKA; SGLT2 inhibitors; cardiovascular outcomes; diabetic ketoacidosis; heart failure; renal outcomes.

Publication types

  • Review

MeSH terms

  • Adult
  • Blood Glucose
  • Diabetes Mellitus, Type 2* / complications
  • Diabetes Mellitus, Type 2* / diagnosis
  • Diabetes Mellitus, Type 2* / drug therapy
  • Heart Diseases*
  • Humans
  • Pharmaceutical Preparations
  • Renal Insufficiency, Chronic* / complications
  • Renal Insufficiency, Chronic* / diagnosis
  • Renal Insufficiency, Chronic* / drug therapy
  • Sodium-Glucose Transporter 2 Inhibitors* / adverse effects

Substances

  • Blood Glucose
  • Pharmaceutical Preparations
  • Sodium-Glucose Transporter 2 Inhibitors