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

36

Organ protection

upin humans2

2 studies
  1. 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

  2. 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
  1. 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

Systolic blood pressure →

Body weight

downin humans1

1 study
  1. 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
  1. 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

Glycated hemoglobin →

Systolic blood pressure

downin humans1

1 study
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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

Renal clearance of TMAO →

Trimethylamine n-oxide

upin humans1

1 study
  1. 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

Trimethylamine n-oxide →

All 36

Cardiovascular events

downin humans1

1 study
  1. 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
  1. 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
  1. 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
  1. SGLT2 inhibitors decrease oxidative stress and ROS signalling.

    Review

    SGLT2 inhibitors: mechanisms, physiology and pharmacology, and clinical applications · Molecular biomedicine · 30 Sep 2026

Oxidative stress and ROS signalling →

TNF-alpha

downin humans1

1 study
  1. 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

TNF-alpha →

IL-6

no changein humans1

1 study
  1. 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

IL-6 →

C-reactive protein

no changein humans1

1 study
  1. 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

C-reactive protein →

Severe urogenital infections

no changein humans1

1 study
  1. 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

Severe urogenital infections →

Urinary tract infection

no changein humans1HR 0.99

1 study
  1. 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

Urinary tract infection →

Daily paracentesis volume

downin humans1

1 study
  1. 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
  1. 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
  1. 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

24-hour urinary sodium excretion →

Fractional excretion of sodium

upin humans1

1 study
  1. 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

Fractional excretion of sodium →

Liver injury

no changein humans1

1 study
  1. 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

Liver injury →

IFN-γ production by γδ T cells

downin humans1−40% reduction

1 study
  1. 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

IFN-γ production by γδ T cells →

Lipoprotein profiles

no changein humans1

1 study
  1. 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
  1. 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

Hematocrit →

Serum magnesium

upin humans1

1 study
  1. 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

Serum magnesium →

Glycosuria

upin humans1

1 study
  1. 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

Glycosuria →

HbA1c

downin humans1

1 study
  1. 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

HbA1c →

Estimated glomerular filtration rate decline

downin humans1

1 study
  1. 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
  1. 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
  1. 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

Serum uric acid →

Histological endpoints of MASH

upin humans1

1 study
  1. 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
  1. 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
  1. 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

11

Nephrolithiasis

downin humans1OR 0.72

1 study
  1. 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

Nephrolithiasis →

Progression to eGFR ≤15 mL/min/1.73m2

downin humans1

1 study
  1. 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
  1. 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
  1. 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

Genital tract infection →

Cardiovascular disease

downin humans1

1 study
  1. 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

Cardiovascular disease →

Heart failure

downin humans1

1 study
  1. 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

Heart failure →

Cardiovascular death

downin humans1

1 study
  1. 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
  1. 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
  1. 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
  1. 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 11

Gout

downin humans1

1 study
  1. 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

Gout →

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National Institute of Diabetes and Digestive and Kidney Diseases, BethesdaReview

Sotagliflozin