PMID- 25605060 OWN - NLM STAT- MEDLINE DCOM- 20150615 LR - 20181202 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 16 IP - 4 DP - 2015 Mar TI - Luseogliflozin and other sodium-glucose cotransporter 2 inhibitors: no enemy but time? PG - 453-6 LID - 10.1517/14656566.2015.994505 [doi] AB - Glycosuria is being increasingly recognised as not only a symptom but also as a novel therapeutic approach in the management of type 2 diabetes mellitus (T2DM). This is accomplished through sodium glucose co-transporter 2 (SGLT2) inhibitors. Consequently, the safety and efficacy of these new agents have been thoroughly studied, both in randomised controlled trials and in systematic reviews and meta-analyses. More recently, a review on the mechanism of action, clinical efficacy and safety of luseogliflozin, a new highly selective SGLT2 inhibitor approved and launched in Japan for T2DM, has documented that this drug lowers plasma glucose concentration and body weight, and that it exhibits benefits in other metabolic parameters with a good safety profile. Despite the promising characteristics of this drug, important issues await consideration. These include the question as to when and to whom early use of SGLT2 inhibitors would be most suitable, as well as instructions on reduction of sulfonylurea dosage during add-on treatment. Further important questions are long-term safety concerns and cost-effectiveness of this new therapeutic class. Finally, we need to know more about the potential differences between the various SGLT2 inhibitors, as such differences might prove clinically useful in selection of hypoglycaemic agents. FAU - Pafili, Kalliopi AU - Pafili K AD - Democritus University of Thrace, University Hospital of Alexandroupolis, Diabetes Clinic, Second Department of Internal Medicine , G. Kondyli 22c, Alexandroupolis 68100 , Greece papanasnikos@yahoo.gr. FAU - Papanas, Nikolaos AU - Papanas N LA - eng PT - Editorial DEP - 20150120 PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 506T60A25R (Sorbitol) RN - C596HWF74Z (1,5-anhydro-1-(5-(4-ethoxybenzyl)-2-methoxy-4-methylphenyl)-1-thioglucitol) SB - IM MH - Blood Glucose/metabolism MH - Body Weight/drug effects MH - Diabetes Mellitus, Type 2/*drug therapy/metabolism MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Sorbitol/*analogs & derivatives/therapeutic use OTO - NOTNLM OT - diabetes mellitus OT - luseogliflozin OT - oral hypoglycaemic agents OT - sodium-glucose transport inhibitors OT - therapy. EDAT- 2015/01/22 06:00 MHDA- 2015/06/16 06:00 CRDT- 2015/01/22 06:00 PHST- 2015/01/22 06:00 [entrez] PHST- 2015/01/22 06:00 [pubmed] PHST- 2015/06/16 06:00 [medline] AID - 10.1517/14656566.2015.994505 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2015 Mar;16(4):453-6. doi: 10.1517/14656566.2015.994505. Epub 2015 Jan 20.