# A Comprehensive Review of Emerging Therapies for Type 2 Diabetes and Their Cardiovascular Effects

**Authors:** Arnaldo J Acosta G, Eesha Chitneni, Claudia Jeanette Manzanares Vidals, Sravani Modumudi, Sobia Hammad, Ashee Verma, Rahul Y Rajesh, Aimen Khaliq, Olaoluwa Adeyemi, Farhat Majeed, Rucha V Gujar

PMC · DOI: 10.7759/cureus.65707 · 2024-07-29

## TL;DR

New diabetes drugs like SGLT2 inhibitors and GLP-1 RA improve heart health and reduce risks like heart failure and stroke.

## Contribution

A literature review highlighting cardiovascular and renal benefits of SGLT2 inhibitors and GLP-1 RA in diabetics and non-diabetics.

## Key findings

- SGLT2 inhibitors reduce heart failure hospitalizations and slow chronic kidney disease progression.
- GLP-1 RA lower stroke risk and improve cardiovascular outcomes.
- Both drug classes offer significant cardiovascular benefits beyond glucose control.

## Abstract

The discovery of inhibitors for sodium-glucose cotransporter 2 (SGLT2) and glucagon-like peptide-1 receptor agonists (GLP-1 RA) has significantly improved type 2 diabetes management. Large-scale clinical studies have shown that both SGLT2 inhibitors and GLP-1 RA enhance cardiovascular health. Benefits include reduced cardiovascular disease risk, lower mortality, fewer heart failure hospitalizations (SGLT2 inhibitors), and stroke prevention (GLP-1 RA). Additionally, these drugs slow chronic kidney disease progression. This comprehensive treatment targets vascular events. Despite differences, both drug classes are crucial. GLP-1 RA mainly reduce stroke risk, while SGLT2 inhibitors alleviate heart failure. Our findings, based on a literature review, will address the renal and cardiac effects of SGLT2 inhibitors and GLP-1 RA in both diabetics and non-diabetics, highlighting their combined benefits for heart conditions.

## Linked entities

- **Proteins:** SLC5A2 (solute carrier family 5 member 2)
- **Diseases:** type 2 diabetes (MONDO:0005148), cardiovascular disease (MONDO:0004995), heart failure (MONDO:0005252), stroke (MONDO:0005098), chronic kidney disease (MONDO:0005300)

## Full-text entities

- **Genes:** SLC5A2 (solute carrier family 5 member 2) [NCBI Gene 6524] {aka SGLT2}, GLP1R (glucagon like peptide 1 receptor) [NCBI Gene 2740] {aka GLP-1, GLP-1-R, GLP-1R}
- **Diseases:** chronic kidney disease (MESH:D051436), cardiovascular disease (MESH:D002318), stroke (MESH:D020521), heart failure (MESH:D006333), Type 2 Diabetes (MESH:D003924), conditions (MESH:D020763), diabetics (MESH:D003920)

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11358602/full.md

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Source: https://tomesphere.com/paper/PMC11358602