PMID- 25104103 OWN - NLM STAT- MEDLINE DCOM- 20141114 LR - 20181202 IS - 1532-8600 (Electronic) IS - 0026-0495 (Linking) VI - 63 IP - 10 DP - 2014 Oct TI - The role of the kidneys in glucose homeostasis in type 2 diabetes: clinical implications and therapeutic significance through sodium glucose co-transporter 2 inhibitors. PG - 1228-37 LID - S0026-0495(14)00195-4 [pii] LID - 10.1016/j.metabol.2014.06.018 [doi] AB - The kidneys play an important role in regulating glucose homeostasis through utilization of glucose, gluconeogenesis, and glucose reabsorption via sodium glucose co-transporters (SGLTs) and glucose transporters. The renal threshold for glucose excretion (RTG) is increased in patients with type 2 diabetes mellitus (T2DM), possibly due to upregulation of SGLT2 and SGLT1 expression. The resulting increase in renal glucose reabsorption is thought to contribute to the maintenance of hyperglycemia in patients with T2DM. Selective SGLT2 inhibitors reduce the RTG, thereby increasing glucosuria, and have demonstrated favorable efficacy and safety in patients with T2DM inadequately controlled with diet and exercise and other glucose-lowering treatments. CI - Copyright (c) 2014 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Wilding, John P H AU - Wilding JP AD - Department of Obesity and Endocrinology, University of Liverpool, United Kingdom. Electronic address: J.P.H.Wilding@liverpool.ac.uk. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140702 PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Diabetes Mellitus, Type 2/*metabolism/physiopathology MH - Glucose/*metabolism MH - Homeostasis/*physiology MH - Humans MH - Kidney/*metabolism/physiopathology MH - Sodium-Glucose Transporter 2/*metabolism MH - *Sodium-Glucose Transporter 2 Inhibitors OTO - NOTNLM OT - Kidneys OT - Sodium glucose co-transporter 2 (SGLT2) inhibitor OT - Type 2 diabetes mellitus EDAT- 2014/08/12 06:00 MHDA- 2014/11/15 06:00 CRDT- 2014/08/09 06:00 PHST- 2014/02/10 00:00 [received] PHST- 2014/06/30 00:00 [revised] PHST- 2014/06/30 00:00 [accepted] PHST- 2014/08/09 06:00 [entrez] PHST- 2014/08/12 06:00 [pubmed] PHST- 2014/11/15 06:00 [medline] AID - S0026-0495(14)00195-4 [pii] AID - 10.1016/j.metabol.2014.06.018 [doi] PST - ppublish SO - Metabolism. 2014 Oct;63(10):1228-37. doi: 10.1016/j.metabol.2014.06.018. Epub 2014 Jul 2.