PMID- 31290126 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201124 IS - 1869-6953 (Print) IS - 1869-6961 (Electronic) IS - 1869-6961 (Linking) VI - 10 IP - 5 DP - 2019 Oct TI - SGLT2 Inhibitors: Cardiovascular Benefits Beyond HbA1c-Translating Evidence into Practice. PG - 1595-1622 LID - 10.1007/s13300-019-0657-8 [doi] AB - Cardiovascular disease (CVD), including heart failure (HF), is a leading cause of morbidity and mortality in people with type 2 diabetes mellitus (T2DM). CVD and T2DM share common risk factors for development and progression, and there is significant overlap between the conditions in terms of worsening outcomes. In assessing the cardiovascular (CV) safety profiles of anti-diabetic drugs, sodium-glucose co-transporter-2 inhibitor (SGLT2i) therapies have emerged with robust evidence for reducing the risk of adverse CVD outcomes in people with T2DM who have either established CVD or are at risk of developing CVD. A previous consensus document from the Improving Diabetes Steering Committee has examined the potential role of SGLT2is in T2DM management and considered the risk-benefit profile of the class and the appropriate place for these medicines within the T2DM pathway. This paper builds on these findings and presents practical guidance for maximising the pleiotropic benefits of this class of medicines in people with T2DM in terms of reducing adverse CVD outcomes. The Improving Diabetes Steering Committee aims to offer evidence-based practical guidance for the use of SGLT2i therapies in people with T2DM stratified by CVD risk. This is of particular importance currently because some treatment guidelines have not been updated to reflect recent evidence from cardiovascular outcomes trials (CVOTs) and real-world studies that complement the CVOTs. The Improving Diabetes Steering Committee seeks to support healthcare professionals (HCPs) in appropriate treatment selection for people with T2DM who are at risk of developing or have established CVD and examines the role of SGLT2i therapy for these people.Funding: Napp Pharmaceuticals Limited. FAU - Ali, Amar AU - Ali A AD - Oakenhurst Medical Practice, Blackburn, UK. FAU - Bain, Steve AU - Bain S AD - Diabetes Research Unit Cymru, Swansea University, Swansea, UK. FAU - Hicks, Debbie AU - Hicks D AD - Medicus Health Partners, Enfield, UK. FAU - Newland Jones, Phillip AU - Newland Jones P AD - University Hospitals Southampton NHS Foundation Trust, Southampton, UK. FAU - Patel, Dipesh C AU - Patel DC AD - Department of Diabetes and Endocrinology, Division of Medicine, University College London, London, UK. FAU - Evans, Marc AU - Evans M AD - Department of Diabetes, University Hospital Llandough, Llandough, UK. FAU - Fernando, Kevin AU - Fernando K AD - North Berwick Health Centre, North Berwick, UK. FAU - James, June AU - James J AD - University Hospitals of Leicester NHS Trust, Leicester, UK. FAU - Milne, Nicola AU - Milne N AD - CODES (Community Diabetes Education and Support), Manchester University NHS Foundation Trust, Manchester, UK. FAU - Viljoen, Adie AU - Viljoen A AD - Department of Metabolic Medicine/Chemical Pathology, Lister Hospital, Stevenage, UK. FAU - Wilding, John AU - Wilding J AUID- ORCID: 0000-0003-2839-8404 AD - Obesity and Endocrinology Research, University of Liverpool, Liverpool, UK. J.P.H.Wilding@liverpool.ac.uk. CN - As part of The Improving Diabetes Steering Committee LA - eng PT - Journal Article PT - Review DEP - 20190709 PL - United States TA - Diabetes Ther JT - Diabetes therapy : research, treatment and education of diabetes and related disorders JID - 101539025 EIN - Diabetes Ther. 2019 Jul 18;:. PMID: 31321747 PMC - PMC6778582 OTO - NOTNLM OT - Anti-diabetic medicines OT - Cardiovascular disease (CVD) OT - Clinical guidance OT - Heart failure (HF) OT - Oral glucose-lowering medicines OT - Practical treatment selection OT - SGLT2 inhibitors (SGLT2i) OT - Therapy choice OT - Type 2 diabetes mellitus (T2DM) EDAT- 2019/07/11 06:00 MHDA- 2019/07/11 06:01 PMCR- 2019/07/09 CRDT- 2019/07/11 06:00 PHST- 2019/05/09 00:00 [received] PHST- 2019/07/11 06:00 [pubmed] PHST- 2019/07/11 06:01 [medline] PHST- 2019/07/11 06:00 [entrez] PHST- 2019/07/09 00:00 [pmc-release] AID - 10.1007/s13300-019-0657-8 [pii] AID - 657 [pii] AID - 10.1007/s13300-019-0657-8 [doi] PST - ppublish SO - Diabetes Ther. 2019 Oct;10(5):1595-1622. doi: 10.1007/s13300-019-0657-8. Epub 2019 Jul 9.