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Clinical implication of SGLT2 inhibitors in type 2 diabetes
1Department of Pharmacology and Clinical Pharmacy, College of Pharmacy, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul, 130-701, Republic of Korea.
Abstract:
Treatment of type 2 diabetes mellitus (T2DM) continues to present challenges, with many patients failing to achieve glycemic targets. Despite the availability of many oral and injectable anti-diabetic agents, therapeutic efficacy is often offset by undesirable side effects such as hypoglycemia, weight gain and cardiovascular complications. Therefore, the search for new therapeutic agents with an improved benefit-risk profile continues. Recent research has focused on the kidney as a potential therapeutic target, especially because maximal renal glucose reabsorption is increased in T2DM. Under normal physiological conditions, nearly all filtered glucose is reabsorbed in the proximal tubule of the nephron via the sodium/glucose co-transporter 2 (SGLT2). SGLT2-inhibitors are a new class of oral anti-diabetes, which reduce hyperglycemia by increasing urinary glucose excretion independently of insulin secretion or action. Canagliflozin and dapagliflozin in US market, and ipragliflozin and luseogliflozin in Japan market are now available for glycemic control in type 2 diabetics. There are several phase III clinical ongoing trials involving this new class of medications. This review examines some of the key efficacy and safety data from clinical trials of the SGLT2 inhibitors approved, and their future perspectives in the treatment of T2DM.
Insights
New SGLT2 inhibitors offer improved type 2 diabetes treatment by increasing urinary glucose excretion. These medications provide an alternative for patients not meeting glycemic targets, with a focus on efficacy and safety data.
Area of Science:
- Endocrinology
- Nephrology
- Pharmacology
Background:
- Type 2 diabetes mellitus (T2DM) treatment faces challenges in achieving glycemic targets.
- Existing anti-diabetic agents often have side effects like hypoglycemia and weight gain.
- Increased renal glucose reabsorption in T2DM highlights the kidney as a therapeutic target.
Purpose of the Study:
- To review the efficacy and safety of SGLT2 inhibitors for T2DM.
- To discuss the therapeutic potential of targeting renal glucose reabsorption.
- To examine the clinical data and future perspectives of SGLT2 inhibitors.
Main Methods:
- Review of clinical trial data for approved SGLT2 inhibitors.
- Analysis of efficacy and safety profiles.
- Examination of ongoing phase III clinical trials.
Main Results:
- SGLT2 inhibitors reduce hyperglycemia by increasing urinary glucose excretion.
- Approved SGLT2 inhibitors include canagliflozin, dapagliflozin, ipragliflozin, and luseogliflozin.
- Clinical trials provide key efficacy and safety data for this drug class.
Conclusions:
- SGLT2 inhibitors represent a novel class of oral anti-diabetic agents.
- They offer an insulin-independent mechanism for glycemic control.
- Further research and clinical trials are exploring their role in T2DM management.
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