PMID- 29608505 OWN - NLM STAT- MEDLINE DCOM- 20181113 LR - 20210504 IS - 1538-4683 (Electronic) IS - 1061-5377 (Linking) VI - 26 IP - 6 DP - 2018 Nov/Dec TI - Sodium-Glucose Cotransporter-2 Inhibition in Type 2 Diabetes Mellitus: A Review of Large-Scale Cardiovascular Outcome Studies and Possible Mechanisms of Benefit. PG - 312-320 LID - 10.1097/CRD.0000000000000201 [doi] AB - Cardiovascular (CV) disease remains the leading cause of morbidity and mortality in individuals with type 2 diabetes mellitus (T2DM). However, conventional antihyperglycemic medications seem to have minimal effect on lowering CV risk despite achieving excellent reductions in glycated hemoglobin A1c and associated reductions in microvascular risk. Sodium-glucose cotransporter 2 (SGLT2) inhibitors have emerged as noteworthy antihyperglycemic agents with concomitant CV and renal protection in T2DM patients. In this comprehensive review, we present the key CV findings from major large-scale outcome trials of SGLT2 inhibitors to date. We also review the mechanistic studies that might explain the CV benefits of SGLT2 inhibition in patients with T2DM. FAU - Dalan, Rinkoo AU - Dalan R AD - From the Department of Endocrinology, Division of Medicine, Tan Tock Seng Hospital, Singapore; Department of Metabolic Medicine, Lee, Kong Chian School of Medicine, Nanyang Technological University, Singapore; and Department of General Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. LA - eng PT - Journal Article PT - Review PL - United States TA - Cardiol Rev JT - Cardiology in review JID - 9304686 RN - 0 (Benzhydryl Compounds) RN - 0 (Blood Glucose) RN - 0 (Glucosides) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 1ULL0QJ8UC (dapagliflozin) SB - IM MH - Benzhydryl Compounds/*therapeutic use MH - Blood Glucose/drug effects/metabolism MH - Cardiovascular Diseases/etiology MH - *Diabetes Mellitus, Type 2/blood/complications/drug therapy MH - Global Health MH - Glucosides/*therapeutic use MH - Humans MH - Morbidity/trends MH - Risk Factors MH - Sodium-Glucose Transporter 2/metabolism MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Survival Rate/trends EDAT- 2018/04/03 06:00 MHDA- 2018/11/14 06:00 CRDT- 2018/04/03 06:00 PHST- 2018/04/03 06:00 [pubmed] PHST- 2018/11/14 06:00 [medline] PHST- 2018/04/03 06:00 [entrez] AID - 10.1097/CRD.0000000000000201 [doi] PST - ppublish SO - Cardiol Rev. 2018 Nov/Dec;26(6):312-320. doi: 10.1097/CRD.0000000000000201.