LMC Diabetes & Endocrinology, Brampton, Ontario , Canada.
Leadership Sinai Centre for Diabetes, Mount Sinai Hospital , Toronto, Ontario , Canada.
Physiology (Bethesda). 2018 May 1;33(3):197-210. doi: 10.1152/physiol.00004.2018.
Recent trials in Type 2 diabetes (T2D) have shown cardiovascular benefits with specific GLP-1 receptor agonists and SGLT2 inhibitors. We discuss the landscape of outcome trials in T2D from a pathophysiology viewpoint, review current knowledge gaps in underlying mechanisms, propose a caloric fuel routing hypothesis, and highlight areas of future research.
最近的 2 型糖尿病(T2D)试验表明,特定的 GLP-1 受体激动剂和 SGLT2 抑制剂具有心血管益处。我们从病理生理学的角度讨论了 T2D 的结局试验现状,回顾了潜在机制中的现有知识空白,提出了热量燃料途径假说,并强调了未来研究的领域。