PMID- 35338446 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1869-6953 (Print) IS - 1869-6961 (Electronic) IS - 1869-6961 (Linking) VI - 13 IP - 5 DP - 2022 May TI - Beyond the Glycaemic Control of Dapagliflozin: Microangiopathy and Non-classical Complications. PG - 873-888 LID - 10.1007/s13300-022-01237-9 [doi] AB - Dapagliflozin is a selective sodium-glucose cotransporter 2 inhibitor (SGLT2i) indicated for the treatment of type 2 diabetes mellitus (T2DM), heart failure (HF) with reduced ejection fraction (EF) and chronic kidney disease (CKD). In monotherapy or as an additive therapy, dapagliflozin aids glycaemic control, is associated with reductions in blood pressure and weight, and promotes a favourable lipid profile. In this review, we address the impact of dapagliflozin on cardiovascular risk factors and common microangiopathic complications such as kidney disease and retinopathy in patients with T2DM. Furthermore, we evaluate its potential beneficial effects on other less frequent complications of diabetes, such as macular oedema, cognitive impairment, non-alcoholic fatty liver disease and respiratory disorders during sleep. Moreover, the underuse of SGLT2i in clinical practice is discussed. Our goal is to help translate this evidence into clinical practice. CI - (c) 2022. The Author(s). FAU - Bellido, Virginia AU - Bellido V AD - Endocrinology and Nutrition Department, Virgen del Rocio University Hospital, Sevilla, Spain. FAU - Martinez, Julia AU - Martinez J AD - Medical Department, AstraZeneca Spain, Madrid, Spain. FAU - Calvo, Fernando AU - Calvo F AD - Endocrinology and Nutrition Department, "Lozano Blesa" Clinical Hospital, Zaragoza, Spain. FAU - Villarroel, Aida AU - Villarroel A AD - Medical Department, AstraZeneca Spain, Madrid, Spain. FAU - Lecumberri, Edurne AU - Lecumberri E AD - Endocrinology and Nutrition Department, Ramon y Cajal University Hospital, Madrid, Spain. FAU - Moreno, Juan AU - Moreno J AD - Medical Department, AstraZeneca Spain, Madrid, Spain. FAU - Morillas, Carlos AU - Morillas C AD - Endocrinology and Nutrition Department, Dr Peset University Hospital of Valencia, Valencia, Spain. FAU - Rodrigo, Silvia AU - Rodrigo S AD - Medical Department, AstraZeneca Spain, Madrid, Spain. FAU - Izarra, Aitziber AU - Izarra A AD - Medical Department, AstraZeneca Spain, Madrid, Spain. FAU - Lecube, Albert AU - Lecube A AD - Research Group On Obesity, Diabetes and Metabolism (ODIM), Institute of Biomedical Research of Lleida (IRBLleida), Endocrinology and Nutrition Department, Arnau de Vilanova University Hospital, Lleida, University of Lleida, Avda. Rovira Roure 80, 25198, Lleida, Spain. alecube@gmail.com. AD - Biomedical Research Networking Center in Diabetes and Associated Metabolic Disorders (CIBERDEM), Carlos III Health Institute, Madrid, Spain. alecube@gmail.com. LA - eng PT - Journal Article PT - Review DEP - 20220325 PL - United States TA - Diabetes Ther JT - Diabetes therapy : research, treatment and education of diabetes and related disorders JID - 101539025 PMC - PMC9076778 OTO - NOTNLM OT - Cardiometabolic risk factors OT - Dapagliflozin OT - Diabetes mellitus OT - Diabetic angiopathy OT - Sodium-glucose cotransporter 2 inhibitors OT - Therapeutic inertia EDAT- 2022/03/27 06:00 MHDA- 2022/03/27 06:01 PMCR- 2022/03/25 CRDT- 2022/03/26 05:31 PHST- 2021/12/06 00:00 [received] PHST- 2022/02/21 00:00 [accepted] PHST- 2022/03/27 06:00 [pubmed] PHST- 2022/03/27 06:01 [medline] PHST- 2022/03/26 05:31 [entrez] PHST- 2022/03/25 00:00 [pmc-release] AID - 10.1007/s13300-022-01237-9 [pii] AID - 1237 [pii] AID - 10.1007/s13300-022-01237-9 [doi] PST - ppublish SO - Diabetes Ther. 2022 May;13(5):873-888. doi: 10.1007/s13300-022-01237-9. Epub 2022 Mar 25.