PMID- 26732230 OWN - NLM STAT- MEDLINE DCOM- 20161007 LR - 20181202 IS - 1751-2441 (Electronic) IS - 1751-2433 (Linking) VI - 9 IP - 3 DP - 2016 TI - Sodium-glucose co-transporter-2 inhibitors as add-on therapy to insulin: rationale and evidences. PG - 409-18 LID - 10.1586/17512433.2016.1131121 [doi] AB - Sodium-glucose co-transporter-2 inhibitors (SGLT-2I) are recently approved class of anti-hyperglycaemic agents for the treatment of type 2 diabetes mellitus (T2DM). SGLT-2I inhibits renal glucose reabsorption, thereby ensuing urinary glucose excretion in a dose-dependent manner. This caloric loss and osmotic diuresis, secondary to increased urinary glucose excretion, has a unique potential to counter insulin induced weight gain and fluid retention, with little potential of hypoglycemic exacerbation. Also, as these agents act independently of insulin secretion or action, they are effective even in long-standing diabetes with depleted beta-cell reserve. Improvement in insulin sensitivity, as observed with SGLT-2I can also facilitate insulin action. Furthermore, significant reduction in total daily insulin dosage and reduction of body weight as observed during combination therapy renders SGLT-2I, a near-ideal partner to insulin. This review aims to evaluate the safety and efficacy of currently used SGLT-2I as an add-on to insulin therapy in the treatment of T2DM. FAU - Singh, Awadhesh Kumar AU - Singh AK AD - a G.D Hospital & Diabetes Institute , Kolkata , India. FAU - Singh, Ritu AU - Singh R AD - a G.D Hospital & Diabetes Institute , Kolkata , India. LA - eng PT - Journal Article PT - Review DEP - 20160105 PL - England TA - Expert Rev Clin Pharmacol JT - Expert review of clinical pharmacology JID - 101278296 RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Diabetes Mellitus, Type 2/*drug therapy/physiopathology MH - Dose-Response Relationship, Drug MH - Drug Therapy, Combination MH - Glucose/metabolism MH - Humans MH - Hypoglycemic Agents/administration & dosage/pharmacology/*therapeutic use MH - Insulin/administration & dosage/metabolism/therapeutic use MH - Insulin Resistance MH - *Sodium-Glucose Transporter 2 Inhibitors OTO - NOTNLM OT - Sodium glucose co-transporter-2 inhibitors OT - genito-urinary infection OT - hypoglycemia OT - insulin OT - type 2 diabetes EDAT- 2016/01/07 06:00 MHDA- 2016/10/08 06:00 CRDT- 2016/01/07 06:00 PHST- 2016/01/07 06:00 [entrez] PHST- 2016/01/07 06:00 [pubmed] PHST- 2016/10/08 06:00 [medline] AID - 10.1586/17512433.2016.1131121 [doi] PST - ppublish SO - Expert Rev Clin Pharmacol. 2016;9(3):409-18. doi: 10.1586/17512433.2016.1131121. Epub 2016 Jan 5.