SGLT2 inhibitor

No summary available for this substance.

SGLT2 inhibitor

SGLT2 inhibitors, also known as sodium-glucose co-transporter 2 inhibitors, are a class of medications used to manage and treat type 2 diabetes. They work by blocking the reabsorption of glucose in the kidneys, promoting its excretion through urine, which helps lower blood sugar levels.

Category
Antidiabetic medication
Molecular Formula
Varies by specific drug
Mechanism of Action
Inhibits the sodium-glucose co-transporter 2 protein in the kidneys, leading to glucose excretion in the urine and thus lowering blood glucose levels.
Evidence Grade
A

Other Names

  • Gliflozins
  • Sodium-glucose co-transporter 2 inhibitors

Primary Benefits

  • Lowers blood sugar levels
  • Promotes weight loss
  • Lowers blood pressure
  • Reduces risk of cardiovascular events

Recommended Dosage

Adult The dosage varies depending on the specific drug and patient's health condition. Usually taken once daily. Always follow doctors prescription.

Side Effects

  • Urinary tract infections
  • Yeast infections
  • Increased urination
  • Hypotension
  • Kidney injury

Precautions

  • Not recommended for patients with severe kidney disease
  • May increase risk of urinary tract infections
  • Monitor for symptoms of ketoacidosis

Interactions

  • Diuretics may increase the risk of dehydration
  • Insulin and other antidiabetic drugs may have additive effects leading to hypoglycemia

Key References

  • American Diabetes Association. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2020. Diabetes Care 2020; 43 (Suppl. 1): S98–S110
  • Zinman B, Wanner C, Lachin JM, et al. Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes. New England Journal of Medicine 2015; 373:2117-2128
#148 – Richard Miller, M.D., Ph.D.: The gold standard for testing longevity drugs: the ITP
Understanding Longevity: Research, Substances, Genetics, Diet, and Implications 3:18 0
“one around an sglt2 inhibitor and another one around nicotinamide riboside”

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171- Longevity science: caloric restriction studies, aging biomarkers & possible longevity molecules
Exploring Genetics, Environment, Nutrition, Hormones, and Health for Longevity 2:29:46 0
“although the human data on the sglt2 inhibitors is also remarkable and i think that's the sort of that's the theme here right is you have a great itp outcome and of course the human data are not for longevity but they're right again they suffer the the limitations of all human studies namely that they're being used in a subset of the population that might not be the subset of interest but you know the impact on kidney failure all-cause mortality heart failure is pretty impressive”

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Dr. Greg Fahy: Thymus Regeneration & Boosting The Immune System For Longevity
Boosting Immune System and Thymus Regeneration for Longevity Insights 17:54 0
“UK biobank people taking sglt2 Inhibitors seem to have lower all cause mortality so there may be a better case for a longevity effect”

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Dr. Peter Attia: Supplements for Longevity & Their Efficacy
Supplements, Lifestyle, and Strategies for Longevity and Optimal Health 14:39 0
“you can take Metformin or an sgt2 inhibitor or a glp1 Agonist and you will directly impact those things you could take uh a pcsk9 inhibitor or a Statin or bidic acid you will directly impact those disease processes you will delay the onset of those diseases and you will reduce the mortality associated with them”

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Dr. Peter Attia: Supplements for Longevity & Their Efficacy
Supplements, Lifestyle, and Strategies for Longevity and Optimal Health 17:29 0
“I take a few right so I take some that are disease specific right so I take a pcsk9 inhibitor I take bidic acid uh I take an sglt2 inhibitor um and then I take at least one that is purely just uh based on the belief of its capacity and Juro protection which is rrap ayin and um and also the SG the sglt2 inhibitor I think is probably just broadly geroprotective.”

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