Genital Infections with Sodium Glucose Cotransporter-2 Inhibitors: Occurrence and Management in Patients with Type 2 Diabetes Mellitus
Autor: | Hardik Vasnawala, Sanjay Kalra, Vedavati B Purandare, AG Unnikrishnan |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
endocrine system diseases Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Review Article genital infection lcsh:Diseases of the endocrine glands. Clinical endocrinology 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Endocrinology Personal hygiene Diabetes mellitus Internal medicine Balanitis medicine Empagliflozin balanoposthitis SGLT2i 030212 general & internal medicine Dapagliflozin lcsh:RC799-869 glucosuria Canagliflozin lcsh:RC648-665 business.industry Metabolic disorder Type 2 Diabetes Mellitus medicine.disease Menopause chemistry vulvovaginal candidiasis lcsh:Diseases of the digestive system. Gastroenterology business medicine.drug |
Zdroj: | Indian Journal of Endocrinology and Metabolism Indian Journal of Endocrinology and Metabolism, Vol 22, Iss 6, Pp 837-842 (2018) |
ISSN: | 2230-8210 |
Popis: | Diabetes is a metabolic disorder characterized by hyperglycemia and is associated with several comorbidities and complications. Genital infection is one such complication that is often associated with diabetes mellitus (DM). Even though abnormalities in immune system, high urine glucose, and bladder dysfunction are important contributors for the increased risk of genitourinary symptoms, yet the possible role of pharmacologically induced glucosuria cannot be completely overlooked in such patients. There are various classes of medications to control blood glucose levels. A new therapeutic option to manage hyperglycemia is to increase renal glucose excretion by inhibiting sodium-glucose cotransporter-2 (SGLT2) glucose transport proteins. SGLT2 inhibitors (SGLT2i) represent a novel class of oral antidiabetic drugs which are associated with drug-induced glucosuria. Currently, canagliflozin, dapagliflozin, and empagliflozin are the three SGLT2i approved for therapy in Type 2 DM (T2DM). Safety studies with these three SGLT2i have reported events of mild-moderate genital infections in patients on SGLT2i therapy. However, most of the reported infections responded to standard treatment. Apart from SGLT2i, factors including personal hygiene, menopause, and circumcision might have a possible role in reported events of genital infections among T2DM patients on SGLT2i therapy. The present review identifies the occurrence of genital infections in diabetic patients on SGLT2i therapy, factors affecting the incidence of genital infections, and management strategies in patients with T2DM on SGLT2i therapy. |
Databáze: | OpenAIRE |
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