Extraglycemic effects of sodium glucose cotransporter 2 inhibitors with
a systemic approach, from possibilities to certainty
Abstract
Sodium-glucose cotransporter inhibitors (SGLT2 inhibitors) are novel
drugs in the treatment of type 2 diabetes mellitus that prevent the
absorption of glucose in the proximal tubules of the kidney and lower
the blood glucose level. In addition to treating diabetes type 2, it
influences all human systems. The aim of this study is to evaluate the
effects of this drug (either beneficial or adverse) on all human
systems, and based on that, a general opinion regarding the preference
and safety of using this drug in diabetic patients with comorbidities,
So far, no study has been conducted to evaluate the effects of this drug
on all human systems. Its beneficial effects on improving cardiovascular
disease risk factors and reducing adverse events caused by
cardiovascular and renal diseases have proven in most large clinical
studies that these effects are almost certain. It also has beneficial
effects on other human systems such as the respiratory system, the
gastrointestinal system, the circulatory system, and the nervous system;
more of them are at the level of clinical and pre-clinical trials but
have not been proven in large clinical trials or meta-analyses, so the
term possible is used. In this review, the beneficial effects of this
drug and its mechanism on every system of humans have been studied, and
finally, its adverse effects have also been discussed. The key impact of
this study is to attract the attention of large clinical studies based
on an overview of all possible effects for the determination of
certainty.