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Chapter-064 SGLT2-i Agents and Cardiovascular Diabetology

BOOK TITLE: Cardiodiabetes Update: A Textbook of Cardiology

Author
1. Kalra Sanjay
ISBN
9789352703043
DOI
10.5005/jp/books/14130_65
Edition
1/e
Publishing Year
2018
Pages
6
Author Affiliations
1. Bharti Hospital, Karnal, Haryana, India, Bharti Hospital and B.R.I.D.E., Karnal 132 001, Haryana, India, Bharti Hospital and BRIDE Karnal; Indian J Endocrinology Metabolism, Bharti Hospital, Karnal, Haryana, India, Bharti Hospital, Karnal-132001, Haryana, India, Indian J Endocrinology and Metabolism; J of Social Health in Diabetes (JoSH Diabetes), Bharti Hospital and BRIDE, Karnal, Haryana, India, Bharti Hospital and BRIDE, Karnal, Haryana, India
Chapter keywords
Cardiovascular disease, CVD, type-2 diabetes mellitus, T2DM, sodium–glucose cotransporter type-1, SGLT1, cardiovascular outcome trial, CVOT, urinary tract infection, UTI

Abstract

The SGLT2 inhibitors represent a class of antidiabetic agents that facilitates elimination of glucose through the urine. These agents selectively inhibit the SGLT2. The SGLT2 transporter is located specifically in the proximal convoluted tubules of the kidneys and facilitates the reabsorption of glucose from the ultrafiltrate. In T2DM, the activity of SGLT2 transporter is upregulated, resulting in increased tubular reabsorption of glucose. Clinically, the SGLT2 transporter plays a more important role in the renal reabsorption of glucose. Sodium–glucose cotransporter type-1 (SGLT1) transporter is present more ubiquitously in the body, having a predominant role in the gut, skeletal, and cardiac muscle cells. SGLT1 transporter also has a minor role in the kidneys, accounting for a small fraction of glucose reabsorption.

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