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钠-葡萄糖协同转运蛋白2抑制剂在2型糖尿病中的安全性取决于其药物不良反应和血糖监测参数。

Sodium glucose co-transporter 2 inhibitors safety depending on their adverse drug reactions and glucose monitoring parameters in type 2 diabetes mellitus.

作者信息

Bellapu Dhanush, Darwin Ronald

机构信息

Department of Pharmaceutical Sciences, School of Pharmaceutical Sciences, VISTAS, Chennai, Tamil Nadu, India.

Department of Pharmacology, School of Pharmaceutical Sciences, VISTAS, Chennai, Tamil Nadu, India.

出版信息

Indian J Pharmacol. 2025 Sep 1;57(5):329-333. doi: 10.4103/ijp.ijp_924_24. Epub 2025 Aug 22.

DOI:10.4103/ijp.ijp_924_24
PMID:40844062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12419563/
Abstract

INTRODUCTION

SGLT2 inhibitors have a wide extent of restorative movement and higher chance of hypoglycemia because of their affront autonomous action in treating type 2 diabetes. SGLT2 inhibitors have great security and resistance when utilized as monotherapy or in conjunction with other oral hypoglycemic medicines. Since SGLT2 inhibitors can cause hyperglycemia, which results in vaginal and urinary tract infection contaminations. When compared, dapagliflozin had higher contaminations. The key issue displayed is that ketoacidosis and that it may take a little time to analyze it.

OBJECTIVES

To compare the security of canagliflozin and dapagliflozin by watching the long-term impacts on the urinary volume, changes in renal status, and metabolic changes.

RESEARCH METHODOLOGY

A Planned Interventional Comparative Ponder conducted among 1726 patients who were conceded to in the General Medicine and Endocrine Departments, Anu Group of hospitals, Vijayawada over 12 months from December 2021 to December 2022. By alluding to the patient's fasting blood sugar and postprandial blood sugar, renal function test, glycated hemoglobin, blood pressure, and the finding seriousness score of adverse drug reaction (ADR) utilizing Naranjo scale.

RESULTS

Patients had most common ADRs after utilizing Canagliflozin and Dapagliflozin, were hypotension and dehydration, respectively.

CONCLUSION

We concluded that in patients had ADRs after utilizing Canagliflozin versus Dapagliflozin where hypotension and dehydration were more common, respectively. ADRs in the control population was weight pick up had the negative impact and hypoglycemia was found to be more in the control population compared to canagliflozin and dapagliflozin endorsed bunches. Weight loss had a positive impact on canagliflozin and dapagliflozin-endorsed groups.

摘要

引言

钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂具有广泛的治疗作用,且由于其在治疗2型糖尿病时不依赖胰岛素的作用机制,导致低血糖风险较高。SGLT2抑制剂在作为单一疗法或与其他口服降糖药物联合使用时具有良好的安全性和耐受性。由于SGLT2抑制剂可导致高血糖,进而引发阴道和尿路感染。相比之下,达格列净的感染发生率更高。所呈现的关键问题是酮症酸中毒,且可能需要一些时间来进行诊断。

目的

通过观察对尿量、肾脏状态变化和代谢变化的长期影响,比较卡格列净和达格列净的安全性。

研究方法

在2021年12月至2022年12月的12个月期间,对维杰亚瓦达阿努医院集团综合内科和内分泌科收治的1726例患者进行了一项计划干预性对比研究。通过参考患者的空腹血糖和餐后血糖、肾功能测试、糖化血红蛋白、血压,以及使用纳朗霍量表评估药物不良反应(ADR)的严重程度评分。

结果

使用卡格列净和达格列净后,患者最常见的ADR分别为低血压和脱水。

结论

我们得出结论,在使用卡格列净与达格列净后出现ADR的患者中,低血压和脱水分别更为常见。对照组人群中的ADR是体重增加有负面影响,且与卡格列净和达格列净批准组相比,对照组人群中低血糖更为常见。体重减轻对卡格列净和达格列净批准组有积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a02/12419563/2d3fa8f17059/IJPharm-57-329-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a02/12419563/2d3fa8f17059/IJPharm-57-329-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a02/12419563/2d3fa8f17059/IJPharm-57-329-g001.jpg

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本文引用的文献

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Empagliflozin in Heart Failure with a Preserved Ejection Fraction.恩格列净治疗射血分数保留的心力衰竭。
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