SGLT2 inhibitors
Intervention37 papers48 findings
Human trials and observational cohorts show SGLT2 inhibitors lower blood glucose, blood pressure, and renal decline risks, though they increase genital tract infections. Reviews further link them to cardiovascular protection, reduced mortality, and lower body weight.
- Human trial6
- Humans13
- In silico1
Outcomes
36Organ protection
upin humans2
2 studies
Organ protection
upin humans2
SGLT2 inhibitors improve organ protection in humans.
Reviewin type 2 diabetes
Management of type 2 diabetes, 2026. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) · Diabetologia · 2 Oct 2026
SGLT2 inhibitors improve organ protection in humans.
Reviewin type 2 diabetes
Management of Type 2 Diabetes, 2026. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) · Diabetes care · 2 Oct 2026
Systolic blood pressure
downin humans1
1 study
Systolic blood pressure
downin humans1
SGLT2 inhibitors decrease systolic blood pressure in humans (MD = -2.98 mm Hg, 95% CI: -3.44 to -2.52).
Reviewin patients with diabetic CKD
Renoprotective effects and safety of sodium-glucose cotransporter 2 inhibitors in diabetic chronic kidney disease: A systematic review and meta-analysis · Medicine · 2 Oct 2026
Body weight
downin humans1
1 study
Body weight
downin humans1
SGLT2 inhibitors decrease body weight in humans (MD = -1.36 kg, 95% CI: -1.55 to -1.18).
Reviewin patients with diabetic CKD
Renoprotective effects and safety of sodium-glucose cotransporter 2 inhibitors in diabetic chronic kidney disease: A systematic review and meta-analysis · Medicine · 2 Oct 2026
Glycated hemoglobin
downin humans1
1 study
Glycated hemoglobin
downin humans1
SGLT2 inhibitors decrease glycated hemoglobin in humans (MD = -0.40%, 95% CI: -0.44 to -0.36).
Reviewin patients with diabetic CKD
Renoprotective effects and safety of sodium-glucose cotransporter 2 inhibitors in diabetic chronic kidney disease: A systematic review and meta-analysis · Medicine · 2 Oct 2026
Systolic blood pressure
downin humans1
1 study
Systolic blood pressure
downin humans1
Dapagliflozin decreases systolic blood pressure in humans.
Reviewacross clinical studies
Efficacy and mechanistic insights of dapagliflozin in hypertension management · Clinical and experimental hypertension (New York, N.Y. : 1993) · 2 Oct 2026
Blood pressure
downin humans1
1 study
Blood pressure
downin humans1
Dapagliflozin decreases blood pressure in humans.
Reviewin patients with hypertension and concomitant T2D, CKD, or HF
Efficacy and mechanistic insights of dapagliflozin in hypertension management · Clinical and experimental hypertension (New York, N.Y. : 1993) · 2 Oct 2026
Endothelial dysfunction
downin humans1
1 study
Endothelial dysfunction
downin humans1
Empagliflozin decreases endothelial dysfunction in humans.
Human trialANOCA participants with CMVD10 mg daily90 days
Empagliflozin Improves Angina and Endothelial Dysfunction Indices in Angina and No Obstructive Coronary Arteries (ANOCA) · Arteriosclerosis, thrombosis, and vascular biology · 1 Oct 2026
Seattle Angina Questionnaire summary score
upin humans1
1 study
Seattle Angina Questionnaire summary score
upin humans1
Empagliflozin improves seattle Angina Questionnaire summary score in humans (14.0 (4.2-23.9) points).
Human trialANOCA participants with CMVD10 mg daily90 daysn = 11
Empagliflozin Improves Angina and Endothelial Dysfunction Indices in Angina and No Obstructive Coronary Arteries (ANOCA) · Arteriosclerosis, thrombosis, and vascular biology · 1 Oct 2026
Renal clearance of TMAO
downin humans1
1 study
Renal clearance of TMAO
downin humans1
Dapagliflozin decreases renal clearance of TMAO in humans (22.6% lower, p = 0.025).
Human trialType 2 diabetesn = 54
Effects of SGLT-2 Inhibitors on Plasma Concentrations and Renal Clearance of the Risk Marker Trimethylamine-N-Oxide in Patients With Type-2 Diabetes · Endocrinology, diabetes & metabolism · 1 Oct 2026
Trimethylamine n-oxide
upin humans1
1 study
Trimethylamine n-oxide
upin humans1
Dapagliflozin increases trimethylamine n-oxide in humans (23.4% higher, p = 0.021).
Human trialType 2 diabetesn = 54
Effects of SGLT-2 Inhibitors on Plasma Concentrations and Renal Clearance of the Risk Marker Trimethylamine-N-Oxide in Patients With Type-2 Diabetes · Endocrinology, diabetes & metabolism · 1 Oct 2026
All 36Fewer
Cardiovascular events
downin humans1
1 study
Cardiovascular events
downin humans1
Sotagliflozin decreases cardiovascular events in humans.
Reviewtype 2 diabetes and recent worsening heart failure
Cost-Effectiveness of Sotagliflozin in Heart Failure Patients with Preserved and Reduced Ejection Fractions - Results from SOLOIST-WHF · The American journal of cardiology · 30 Sep 2026
Quality-adjusted life-years
upin silico1
1 study
Quality-adjusted life-years
upin silico1
Sotagliflozin improves quality-adjusted life-years in silico (0.39 QALYs (4.43 vs. 4.04)).
In silicodiabetes and recent worsening heart failure
Cost-Effectiveness of Sotagliflozin in Heart Failure Patients with Preserved and Reduced Ejection Fractions - Results from SOLOIST-WHF · The American journal of cardiology · 30 Sep 2026
Lifespan
upin silico1
1 study
Lifespan
upin silico1
Sotagliflozin extends lifespan in silico (0.64 life-years (7.12 vs. 6.48)).
In silicodiabetes and recent worsening heart failure
Cost-Effectiveness of Sotagliflozin in Heart Failure Patients with Preserved and Reduced Ejection Fractions - Results from SOLOIST-WHF · The American journal of cardiology · 30 Sep 2026
Oxidative stress and ROS signalling
downin reviews1
1 study
Oxidative stress and ROS signalling
downin reviews1
SGLT2 inhibitors decrease oxidative stress and ROS signalling.
Review
SGLT2 inhibitors: mechanisms, physiology and pharmacology, and clinical applications · Molecular biomedicine · 30 Sep 2026
TNF-alpha
downin humans1
1 study
TNF-alpha
downin humans1
SGLT2 inhibitors decrease TNF-alpha in humans (SMD -0.39, 95% CI -0.71 to -0.07).
Review
Effects of Sodium-Glucose Cotransporter-2 Inhibitors on Inflammatory Biomarkers: A Systematic Review and Meta-Analysis · Diabetes, obesity & metabolism · 28 Sep 2026
IL-6
no changein humans1
1 study
IL-6
no changein humans1
SGLT2 inhibitors have no effect on IL-6 in humans (MD -1.53 pg/mL, 95% CI -3.69 to 0.64).
Review
Effects of Sodium-Glucose Cotransporter-2 Inhibitors on Inflammatory Biomarkers: A Systematic Review and Meta-Analysis · Diabetes, obesity & metabolism · 28 Sep 2026
C-reactive protein
no changein humans1
1 study
C-reactive protein
no changein humans1
SGLT2 inhibitors have no effect on C-reactive protein in humans (MD -1.13 mg/L, 95% CI -2.31 to 0.05).
Review
Effects of Sodium-Glucose Cotransporter-2 Inhibitors on Inflammatory Biomarkers: A Systematic Review and Meta-Analysis · Diabetes, obesity & metabolism · 28 Sep 2026
Severe urogenital infections
no changein humans1
1 study
Severe urogenital infections
no changein humans1
SGLT2 inhibitors have no effect on severe urogenital infections in humans.
Humansrequiring hospitalization or emergency department visits compared with DPP-4i
SGLT2 inhibitors raise genital but not urinary infection risk · Clinical pharmacology and therapeutics · 28 Sep 2026
Urinary tract infection
no changein humans1HR 0.99
1 study
Urinary tract infection
no changein humans1HR 0.99
SGLT2 inhibitors have no effect on urinary tract infection in humans (HR 0.99, 95% CI 0.83-1.17).
Humanscompared with DPP-4i initiation in patients with T2DM and CKD
SGLT2 inhibitors raise genital but not urinary infection risk · Clinical pharmacology and therapeutics · 28 Sep 2026
Daily paracentesis volume
downin humans1
1 study
Daily paracentesis volume
downin humans1
Empagliflozin decreases daily paracentesis volume in humans (mean difference -0.70 L/day, 95%CI: -1.17 to -0.23).
Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21
Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026
24-hour urine volume
upin humans1
1 study
24-hour urine volume
upin humans1
Empagliflozin increases 24-hour urine volume in humans (+ 822 mL/24 h (95%CI: 403-1240)).
Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21
Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026
24-hour urinary sodium excretion
upin humans1
1 study
24-hour urinary sodium excretion
upin humans1
Empagliflozin increases 24-hour urinary sodium excretion in humans (+92.1 mmol/24 h (95%CI: 47.1-137.2)).
Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21
Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026
Fractional excretion of sodium
upin humans1
1 study
Fractional excretion of sodium
upin humans1
Empagliflozin increases fractional excretion of sodium in humans (+0.44 percentage points (95%CI: 0.05-0.83; p=0.029)).
Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21
Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026
Liver injury
no changein humans1
1 study
Liver injury
no changein humans1
Sotagliflozin has no effect on liver injury in humans.
Review
Sotagliflozin · National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda (MD) · 19 Sep 2026
IFN-γ production by γδ T cells
downin humans1−40% reduction
1 study
IFN-γ production by γδ T cells
downin humans1−40% reduction
SGLT2 inhibitors decrease IFN-γ production by γδ T cells in humans (approximately 40% reduction).
“successful antidiabetic therapy was associated with a progressive reduction in IFN-γ production, reaching approximately 40% after 12 months”
Human trialin patients with poorly controlled T2D12 monthsn = 25
γδ T-cell interferon-γ production reflects metabolic improvement during SGLT2 inhibitor-based therapy in type 2 diabetes · Frontiers in endocrinology · 11 Sep 2026
Lipoprotein profiles
no changein humans1
1 study
Lipoprotein profiles
no changein humans1
Empagliflozin has no effect on lipoprotein profiles in humans.
“without altering lipoprotein profiles”
Human trialtype 2 diabetes3 months
Metabolic and Lipoprotein Changes in Type 2 Diabetes Patients Treated with Empagliflozin · Biomedicines · 8 Sep 2026
Hematocrit
upin humans1
1 study
Hematocrit
upin humans1
Empagliflozin increases hematocrit in humans (1.74 ± 2.08%).
“hematocrit (mean difference = 1.74 ± 2.08%”
Human trialtype 2 diabetes1 month
Metabolic and Lipoprotein Changes in Type 2 Diabetes Patients Treated with Empagliflozin · Biomedicines · 8 Sep 2026
Serum magnesium
upin humans1
1 study
Serum magnesium
upin humans1
Empagliflozin increases serum magnesium in humans (0.26 ± 0.38 mg/dL).
“Empagliflozin increased serum magnesium (mean difference = 0.26 ± 0.38 mg/dL”
Human trialtype 2 diabetes1 month
Metabolic and Lipoprotein Changes in Type 2 Diabetes Patients Treated with Empagliflozin · Biomedicines · 8 Sep 2026
Glycosuria
upin humans1
1 study
Glycosuria
upin humans1
SGLT2 inhibitors increase glycosuria in humans (69.4% vs. 39.9%).
“Glycosuria was more frequent among users than nonusers (69.4% vs. 39.9%; OR = 3.43; 95% CI, 2.02-5.82; p p = 0.110).”
Humansat least three months
Association of SGLT2 Inhibitor Use with Glycosuria, Pyuria, Urinary Symptoms, and Significant Urine Culture Positivity in Adults with Type 2 Diabetes: A Prospective Cross-Sectional Study · Medicina (Kaunas, Lithuania) · 7 Sep 2026
HbA1c
downin humans1
1 study
HbA1c
downin humans1
Dapagliflozin decreases HbA1c in humans.
Humanscompared with combination therapy with semaglutide6 months
Dapagliflozin Alone or Combined With Semaglutide: Cardiovascular and Renal Outcomes Among Patients With Type 2 Diabetes Mellitus in a 6-Month Real-World Retrospective Cohort Study in Saudi Arabia · Journal of the ASEAN Federation of Endocrine Societies · 13 Aug 2026
Estimated glomerular filtration rate decline
downin humans1
1 study
Estimated glomerular filtration rate decline
downin humans1
Empagliflozin decreases estimated glomerular filtration rate decline in humans.
Reviewadults with CKD
Empagliflozin: Reimbursement Recommendation · Canadian Agency for Drugs and Technologies in Health, Ottawa (ON) · 1 Aug 2026
Mortality
downin humans1
1 study
Mortality
downin humans1
SGLT2 inhibitors decrease mortality in humans.
Reviewtype 2 diabetes mellitus and gout
Effects of SGLT2 inhibitors on gout-related and cardiometabolic outcomes in patients with type 2 diabetes mellitus: a scoping review · Advances in rheumatology (London, England) · 24 Jul 2026
Serum uric acid
downin humans1
1 study
Serum uric acid
downin humans1
SGLT2 inhibitors decrease serum uric acid in humans.
Reviewtype 2 diabetes mellitus and gout
Effects of SGLT2 inhibitors on gout-related and cardiometabolic outcomes in patients with type 2 diabetes mellitus: a scoping review · Advances in rheumatology (London, England) · 24 Jul 2026
Histological endpoints of MASH
upin humans1
1 study
Histological endpoints of MASH
upin humans1
Dapagliflozin improves histological endpoints of MASH in humans.
Reviewin the DEAN trial
Dapagliflozin in Metabolic Dysfunction-Associated Steatotic Liver Disease: Clinical Evidence and Therapeutic Potential · Euroasian journal of hepato-gastroenterology · 1 Jan 2026
Hepatic fat
downin humans1
1 study
Hepatic fat
downin humans1
Dapagliflozin decreases hepatic fat in humans.
Reviewin MASLD / MASH
Dapagliflozin in Metabolic Dysfunction-Associated Steatotic Liver Disease: Clinical Evidence and Therapeutic Potential · Euroasian journal of hepato-gastroenterology · 1 Jan 2026
Hospitalization
downin humans1
1 study
Hospitalization
downin humans1
SGLT2 inhibitors decrease hospitalization in humans.
Reviewin HFpEF
Heart Failure with Preserved Ejection Fraction: Challenges and Current Approaches · Research in heart yield and translational medicine · 1 Jan 2026
Associations
11Nephrolithiasis
downin humans1OR 0.72
1 study
Nephrolithiasis
downin humans1OR 0.72
SGLT2 inhibitors lower the risk of nephrolithiasis in humans (OR 0.72, 95% CI 0.65-0.80).
Reviewadults with type 2 diabetes
SGLT2 Inhibitors and Nephrolithiasis Risk in Adults With Type 2 Diabetes: A Systematic Review and Meta-analysis · Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 29 Sep 2026
Progression to eGFR ≤15 mL/min/1.73m2
downin humans1
1 study
Progression to eGFR ≤15 mL/min/1.73m2
downin humans1
SGLT2 inhibitors lower the risk of progression to eGFR ≤15 mL/min/1.73m2 in humans (aHR 0.53, 95% CI 0.33–0.85).
Humanscompared with other glucose-lowering agents
The Renoprotective Effect of SGLT2 Inhibitors in Patients with Type 2 Diabetes and Chronic Kidney Disease: A Real-World Cohort Study · Research Square · 28 Sep 2026 · Preprint
eGFR decline ≥50%
downin humans1
1 study
eGFR decline ≥50%
downin humans1
SGLT2 inhibitors lower the risk of eGFR decline ≥50% in humans (aHR 0.60, 95% CI 0.40–0.90).
Humanscompared with other glucose-lowering agents
The Renoprotective Effect of SGLT2 Inhibitors in Patients with Type 2 Diabetes and Chronic Kidney Disease: A Real-World Cohort Study · Research Square · 28 Sep 2026 · Preprint
Genital tract infection
upin humans1HR 1.31
1 study
Genital tract infection
upin humans1HR 1.31
SGLT2 inhibitors raise the risk of genital tract infection in humans (HR 1.31, 95% CI 1.09-1.58).
Humanscompared with DPP-4i initiation in patients with T2DM and CKD
SGLT2 inhibitors raise genital but not urinary infection risk · Clinical pharmacology and therapeutics · 28 Sep 2026
Cardiovascular disease
downin humans1
1 study
Cardiovascular disease
downin humans1
SGLT2 inhibitors lower the risk of cardiovascular disease in humans.
Reviewin patients with type 2 diabetes
Multiorgan protective therapy for CKM syndrome: the role of GLP-1-based therapies and SGLT2 inhibitors · European journal of internal medicine · 24 Sep 2026
Heart failure
downin humans1
1 study
Heart failure
downin humans1
Sotagliflozin lowers the risk of heart failure in humans.
Reviewadults with heart failure or with type 2 diabetes and chronic kidney disease
Sotagliflozin · National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda (MD) · 19 Sep 2026
Cardiovascular death
downin humans1
1 study
Cardiovascular death
downin humans1
Sotagliflozin lowers the risk of cardiovascular death in humans.
Reviewadults with heart failure or with type 2 diabetes and chronic kidney disease
Sotagliflozin · National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda (MD) · 19 Sep 2026
Diabetes-related hospitalizations/ED visits
upin humans1HR 2.52
1 study
Diabetes-related hospitalizations/ED visits
upin humans1HR 2.52
SGLT2 inhibitors raise the risk of diabetes-related hospitalizations/ED visits in humans (HR 2.52, 95% CI 1.38-4.60).
Humanslate decline in adherence vs adherent12 months post initiation
SGLT2 Inhibitor Adherence and Diabetes Hospitalization Risk in Type 2 Diabetes · The American journal of managed care · 1 Sep 2026
Hospitalization for any cause
downin humans1
1 study
Hospitalization for any cause
downin humans1
Empagliflozin lowers the risk of hospitalization for any cause in humans.
Reviewadults with CKD
Empagliflozin: Reimbursement Recommendation · Canadian Agency for Drugs and Technologies in Health, Ottawa (ON) · 1 Aug 2026
Progression of kidney disease or cardiovascular death
downin humans1
1 study
Progression of kidney disease or cardiovascular death
downin humans1
Empagliflozin lowers the risk of progression of kidney disease or cardiovascular death in humans.
Reviewadults with CKD
Empagliflozin: Reimbursement Recommendation · Canadian Agency for Drugs and Technologies in Health, Ottawa (ON) · 1 Aug 2026
All 11Fewer
Gout
downin humans1
1 study
Gout
downin humans1
SGLT2 inhibitors lower the risk of gout in humans.
Reviewtype 2 diabetes mellitus and gout
Effects of SGLT2 inhibitors on gout-related and cardiometabolic outcomes in patients with type 2 diabetes mellitus: a scoping review · Advances in rheumatology (London, England) · 24 Jul 2026