Mode of action of Oral hypoglycemic Agents Sodium-glucose cotransporter 2 (SGLT2) inhibitors, also known as gliflozins , are a class of oral hypoglycemic agents used to lower blood glucose levels in adults with type 2 diabetes. Examples: Dapagliflozin, Empagliflozin etc. Mode of Action: They work by blocking the function of the SGLT2 protein within the kidneys (PCT, 90% glucose reabsorption). This protein is primarily tasked with the reabsorption of glucose from the glomerular ultrafiltrate . By inhibiting SGLT2, these drugs prevent the reabsorption of glucose, leading to increased urinary glucose excretion. This mechanism corrects hyperglycemia independently of insulin. As a result, blood glucose levels are reduced. Note: In addition to their glucose-lowering effect, SGLT2 inhibitors have been found to have benefits on cardiovascular and renal outcomes, independent of their effects on blood glucose. They may also promote weight loss and mo...
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