Background:
A chronic metabolic disease, diabetes mellitus (DM), is associated with various comorbidity due
to cardiac complications that considerably decreasing the quality of life, but there is no specific medication for this. The
recent developed drugs Sodium glucose transporter 2 inhibitors (SGLT2-Is), have action on diabetes as well as on kidney.
Current research and studies have shown that SGLT2-Is attenuated the risk of cardiac complication associated with
morbidity and hospitalization in diabetes patients.
Introduction: Sodium glucose linked transporter 2 (SGLT2) receptors are mainly situated in proximal tubule of nephron.
About 90% of glucose concentration is reabsorbed by these receptors in the nephron. The advanced remedy for the
management of DM is SGLT2-Is which inhibit or lower the reabsorption of glucose.
Objectives:
The present review explores the mechanistic principle and the clinical trial data of SGLT2-Is which further
support cardioprotective effects associated with these medications.
Methods:
The review collaborates PUBMED, Google Scholar and Research gate databases, which were explored using
keywords and their combinations such as sodium glucose co-transporter 2 inhibitors, diabetes mellitus, cardioprotective
effect, empagliflozin, canagliflozin, dapagliflozin and several others, to create an eclectic manuscript.
Results:
SGLT2-Is showed improvement in diabetes as well as in cardiac complications. These medications decreased
HbA1c levels to control hyperglycemia. The mechanism of action of these drugs showed reduction in cardiac oxidative
stress, cardiac apoptosis and cardiac inflammation. Besides, SGLT-2-Is showed improvement in cardiac structure and
cardiac function.
Conclusion:
Anti-diabetic drugs, SGLT2-Is have a protective effect against cardiac complications. This indicates that
these medication could become first line therapy for cardiac patients with DM.