The Evolving Role of the Cardiologist in the Management of Type 2 Diabetes.

Abstract:

PURPOSE OF REVIEW:To evaluate the treatment of type 2 diabetes from a cardiologist's view. RECENT FINDINGS:A new era in the treatment of type 2 diabetes began for the cardiologist in 2015 with the publication of the EMPA-REG outcome trial finding a significant reduction in CV death with empagliflozin (oral sodium-glucose co-transporter-2 [SGLT2] inhibitor) in patients with type 2 diabetes at increased cardiovascular risk. Shortly thereafter, the injectable glucagon-like peptide agonists (GLP-1) liraglutide and semaglutide found a significant reduction in composite major cardiovascular events (CV death, non-fatal MI, or stroke). Both classes have demonstrated significant renal protection when added to usual care. Moreover, there may be some exciting new benefits of SGLT2 inhibitors for patients with heart failure. These research studies are underway. These two new classes of cardiovascular drugs for type 2 diabetes usher in a new era for the cardiologist who sees greater than 50% of patients with diabetes. The off-target effect of these agents is different as with all new cardiovascular compounds. While safety profiles in these populations are consistent with the known effects of these classes, new off-target effects have been seen with some agents in this class. Ongoing collaboration between cardiologists and other care providers remains important in the implementation of the evidence and care of patients with type 2 diabetes.

journal_name

Curr Diab Rep

journal_title

Current diabetes reports

authors

Chilton RJ,Gallegos KM,Silva-Cardoso J,Oliveros R,Pham S

doi

10.1007/s11892-018-1114-1

subject

Has Abstract

pub_date

2018-11-08 00:00:00

pages

144

issue

12

eissn

1534-4827

issn

1539-0829

pii

10.1007/s11892-018-1114-1

journal_volume

18

pub_type

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