Abstract
Glyphozines also called SGLT2 inhibitors, are a new class of agents that
inhibit reabsorption of glucose in the kidney, in proxinal tubules, and
therefore lower blood sugar. They act by inhibiting sodium-glucose
transport protein 2 (SGLT2). Glyphozines are used in the treatment of
type II diabetes mellitus (T2DM). In studies with canagliflozin, a
member of this class, the medication was found to enhance blood sugar
control as well as reduce body weight and systolic and diastolic blood
pressure.[1] In addition to regulate blood glucose, recent studies
have shown that glyphozines have important positive cardiovascular
benefits, such as weight loss, decreased volaemia and PA, reduced
triglycerides, natriuresis and improved endothelial wall dysfunction.
Clinical studies have shown reduction in deaths from cardiovascular
events among diabetic patients treated with glyphozines. At the moment
these drugs are being studied for an extension of the therapeutic
indication also for cardiovascular diseases such as heart failure. In
this review, we discuss the class of SGLT2 inhibitors in the treatment
of diabetes, and studies focused on their possible role in the treatment
of cardiac disease.