PMID- 26450220 OWN - NLM STAT- MEDLINE DCOM- 20170119 LR - 20210504 IS - 1554-6063 (Electronic) IS - 0145-7217 (Linking) VI - 41 IP - 1 Suppl DP - 2015 Dec TI - Sodium-Glucose Cotransporter 2 Inhibitors in the Treatment of Type 2 Diabetes Mellitus. PG - 5S-18S LID - 10.1177/0145721715607643 [doi] AB - PURPOSE: The purpose of this review article is to provide guidance to clinicians and diabetes educators regarding the use of sodium-glucose cotransporter 2 (SGLT2) inhibitors as a therapeutic option for the treatment of patients with type 2 diabetes mellitus (T2DM). METHODS: The PubMed database was searched through February 2015 to identify clinical trials and meta-analyses evaluating the use of the SGLT2 inhibitors canagliflozin, dapagliflozin, and empagliflozin administered as monotherapy or in combination with other oral antidiabetes drugs or with insulin. RESULTS: SGLT2 inhibitors reduce hyperglycemia in an insulin-independent manner by inhibiting the reabsorption of glucose into the systemic circulation by the kidneys. In patients with T2DM, SGLT2 inhibitors provide consistent reductions in glycated hemoglobin, fasting plasma and postprandial glucose, body weight, and blood pressure when used as monotherapy or in combination with other oral antidiabetes agents or with insulin. SGLT2 inhibitors are associated with a low risk of hypoglycemia, except when used with agents known to be associated with a higher risk of hypoglycemia, such as sulfonylureas or insulin. CONCLUSIONS: The unique renal-specific mechanism of action and favorable efficacy and safety profile of SGLT2 inhibitors support consideration of these antidiabetes agents as a treatment option for patients with T2DM. CI - (c) 2015 The Author(s). FAU - Vivian, Eva AU - Vivian E AD - School of Pharmacy, University of Wisconsin, Madison, Wisconsin (Dr Vivian) eva.vivian@wisc.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20151008 PL - United States TA - Diabetes Educ JT - The Diabetes educator JID - 7701401 RN - 0 (Benzhydryl Compounds) RN - 0 (Blood Glucose) RN - 0 (Glucosides) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0SAC974Z85 (Canagliflozin) RN - 1ULL0QJ8UC (dapagliflozin) RN - HDC1R2M35U (empagliflozin) MH - Benzhydryl Compounds/pharmacology MH - Blood Glucose/drug effects MH - Canagliflozin/pharmacology MH - Diabetes Mellitus, Type 2/blood/complications/*drug therapy MH - Drug Therapy, Combination MH - Glucosides/pharmacology MH - Humans MH - Hyperglycemia/drug therapy/etiology MH - Hypoglycemia/chemically induced MH - Hypoglycemic Agents/*pharmacology MH - Insulin/therapeutic use MH - Kidney/drug effects/metabolism MH - Sodium-Glucose Transporter 2 MH - *Sodium-Glucose Transporter 2 Inhibitors EDAT- 2015/10/10 06:00 MHDA- 2017/01/20 06:00 CRDT- 2015/10/10 06:00 PHST- 2015/10/10 06:00 [entrez] PHST- 2015/10/10 06:00 [pubmed] PHST- 2017/01/20 06:00 [medline] AID - 0145721715607643 [pii] AID - 10.1177/0145721715607643 [doi] PST - ppublish SO - Diabetes Educ. 2015 Dec;41(1 Suppl):5S-18S. doi: 10.1177/0145721715607643. Epub 2015 Oct 8.