PMID- 27350752 OWN - NLM STAT- MEDLINE DCOM- 20170221 LR - 20221207 IS - 1178-2048 (Electronic) IS - 1176-6344 (Print) IS - 1176-6344 (Linking) VI - 12 DP - 2016 TI - SGLT2 inhibitors or GLP-1 receptor agonists as second-line therapy in type 2 diabetes: patient selection and perspectives. PG - 239-49 LID - 10.2147/VHRM.S83088 [doi] AB - Controversy exists regarding the selection of second-line therapy for patients with type 2 diabetes mellitus (T2DM) who are unable to achieve glycemic control with metformin therapy alone. Newer pharmacologic treatments for T2DM include glucagon-like peptide-1 receptor agonists and sodium-glucose cotransporter 2 inhibitors. Both the classes of medication are efficacious, exhibit positive effects on weight, and are associated with minimal risk of hypoglycemia. The purpose of this review is to compare the clinical trial and real-world effectiveness data of glucagon-like peptide-1 receptor agonists versus sodium-glucose cotransporter 2 inhibitors related to A1c reduction, weight loss, cost-effectiveness, cardiovascular outcomes, and safety in patients with T2DM. This review summarizes comparative evidence for providers who are determining which of the two classes may be the most appropriate for a specific patient. FAU - Gurgle, Holly E AU - Gurgle HE AD - Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT, USA. FAU - White, Karen AU - White K AD - Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT, USA. FAU - McAdam-Marx, Carrie AU - McAdam-Marx C AD - Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT, USA. LA - eng PT - Journal Article PT - Review DEP - 20160604 PL - New Zealand TA - Vasc Health Risk Manag JT - Vascular health and risk management JID - 101273479 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (GLP1R protein, human) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Incretins) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Biomarkers/blood MH - Blood Glucose/*drug effects/metabolism MH - Cardiovascular Diseases/etiology/prevention & control MH - Cost-Benefit Analysis MH - Diabetes Mellitus, Type 2/blood/complications/*drug therapy/economics MH - Drug Costs MH - Drug Therapy, Combination MH - Glucagon-Like Peptide-1 Receptor/*agonists/metabolism MH - Glycated Hemoglobin/metabolism MH - Humans MH - Hypoglycemic Agents/adverse effects/economics/*therapeutic use MH - Incretins/adverse effects/economics/*therapeutic use MH - Kidney Tubules, Proximal/*drug effects/metabolism MH - Patient Selection MH - Risk Factors MH - Sodium-Glucose Transporter 2/metabolism MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Time Factors MH - Treatment Outcome MH - Weight Loss/drug effects PMC - PMC4902150 OTO - NOTNLM OT - A1c OT - GLP-1 receptor agonist OT - SGLT2 inhibitor OT - adverse effect OT - type 2 diabetes mellitus OT - weight loss EDAT- 2016/06/29 06:00 MHDA- 2017/02/22 06:00 PMCR- 2016/06/04 CRDT- 2016/06/29 06:00 PHST- 2016/06/29 06:00 [entrez] PHST- 2016/06/29 06:00 [pubmed] PHST- 2017/02/22 06:00 [medline] PHST- 2016/06/04 00:00 [pmc-release] AID - vhrm-12-239 [pii] AID - 10.2147/VHRM.S83088 [doi] PST - epublish SO - Vasc Health Risk Manag. 2016 Jun 4;12:239-49. doi: 10.2147/VHRM.S83088. eCollection 2016.