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Empagliflozin therapy and insulin resistance-associated disorders: effects and promises beyond a diabetic state
1Internal Medicine and Diabetes Clinic, Paphos, Cyprus.
Abstract:
Empagliflozin is a SGLT2 inhibitor that has shown remarkable cardiovascular and renal activities in patients with type 2 diabetes (T2D). Preclinical and clinical studies of empagliflozin in T2D population have demonstrated significant improvements in body weight, waist circumference, insulin sensitivity, and blood pressure - effects beyond its antihyperglycaemic control. Moreover, several studies suggested that this drug possesses significant anti-inflammatory and antioxidative stress properties. This paper explores extensively the main preclinical and clinical evidence of empagliflozin administration in insulin resistance-related disorders beyond a diabetic state. It also discusses its future perspectives, as a therapeutic approach, in this high cardiovascular-risk population.
Insights
Empagliflozin, an SGLT2 inhibitor, offers cardiovascular and renal benefits beyond blood sugar control in type 2 diabetes. It also shows potential for treating insulin resistance disorders and reducing inflammation.
Area of Science:
- Pharmacology
- Endocrinology
- Cardiovascular Medicine
Background:
- Empagliflozin is an SGLT2 inhibitor used in type 2 diabetes (T2D).
- It demonstrates cardiovascular and renal benefits beyond glycemic control.
- Emerging evidence suggests anti-inflammatory and antioxidative properties.
Purpose of the Study:
- To review preclinical and clinical evidence of empagliflozin.
- To explore its effects in insulin resistance disorders beyond diabetes.
- To discuss its therapeutic potential in high cardiovascular-risk populations.
Main Methods:
- Systematic review of preclinical studies.
- Analysis of clinical trial data.
- Literature search for empagliflozin's effects on metabolic and inflammatory markers.
Main Results:
- Empagliflozin improves body weight, waist circumference, insulin sensitivity, and blood pressure in T2D.
- Studies indicate significant anti-inflammatory and antioxidative effects.
- Evidence supports its benefits in conditions related to insulin resistance.
Conclusions:
- Empagliflozin exhibits pleiotropic effects beyond glucose lowering.
- It holds promise for managing insulin resistance-related disorders.
- Further research is warranted for its application in high-risk cardiovascular patients.
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