Shami Dalia, Sousou John M, Batarseh Einas, Alazrai Laith
General Practice, AlMahabba Hospital, Madaba, JOR.
Internal Medicine, Lake Erie College of Osteopathic Medicine, Jacksonville, USA.
Cureus. 2023 Jan 7;15(1):e33484. doi: 10.7759/cureus.33484. eCollection 2023 Jan.
Diabetes mellitus is a metabolic disorder characterized by increased serum glucose due to errors in insulin production or response. The prevalence of diabetes mellitus has continued to rise globally over the years, with roughly 7079 persons per 100,000 expected to be impacted by 2030. A vast number of patients with diabetes mellitus experience unfavorable side effects such as weight gain, hypoglycemia, and hepatorenal toxicity from the several diabetic medications available. These adverse effects may result in life-threatening consequences with a high likelihood of occurrence; therefore, ongoing efforts continue to develop medications with improved tolerability and better glycemic control. Glucagon-like peptide-1 receptor agonists (GLP-1RA) and sodium-glucose cotransporter 2 inhibitors (SGLT-2i) are examples of new innovative targeted therapies to manage diabetes mellitus and potentially improve cardiorenal conditions. This review article details the specific mechanisms of action, potential side effects, and cardiorenal benefits of GLP-1RA and SGLT-2i therapies to fully understand their roles in combating type 2 diabetes mellitus (T2D).
糖尿病是一种代谢紊乱疾病,其特征是由于胰岛素产生或反应错误导致血清葡萄糖升高。多年来,全球糖尿病患病率持续上升,预计到2030年每10万人中约有7079人会受到影响。大量糖尿病患者会出现不良副作用,如体重增加、低血糖以及现有几种糖尿病药物导致的肝肾毒性。这些不良反应可能会导致危及生命的后果,且发生可能性很高;因此,人们一直在努力研发耐受性更好、血糖控制更佳的药物。胰高血糖素样肽-1受体激动剂(GLP-1RA)和钠-葡萄糖协同转运蛋白2抑制剂(SGLT-2i)是管理糖尿病并可能改善心肾状况的新型创新靶向治疗药物的例子。这篇综述文章详细介绍了GLP-1RA和SGLT-2i疗法的具体作用机制、潜在副作用以及心肾益处,以全面了解它们在对抗2型糖尿病(T2D)中的作用。