1. Effect on glycemic |
A.The value of HbA1c level reduced approximately 0.7–1.0% |
B.Lower fasting plasma glucose, about 1.2 mmol/L |
C.Improved beta cell function |
D.Improve glucotoxicity |
E.Improved insulin sensitivity |
F.Increased endogenous glucose production |
G.Reduced insulin resistance |
2. Effects on lipids |
A.Increased HDL, LDL and apolipoprotein |
B.Does not alter the concentration of LDL-C, but decreases small, dense LDL-C and increases large buoyant LDL-C |
C.Increased total cholesterol |
D.Lower triglyceride levels |
E.Lead to increased adiponectin |
3. Weight |
A.Decreased waist circumference, subcutaneous adipose tissue, and visceral adipose tissue |
B.Increased glucagon secretion |
C.Weight loss of about 2–4 kg |
4. Cardiovascular effects |
A.Reduced systolic blood pressure |
B.Improve inflammation and oxidative stress |
C.Improve vascular function |
D.Reduce cardiac preload |
E.Decreased left ventricular mass index |
F.Decreased NT-proBNP concentration |
G.Improve natriuresis |
H.Reduces pathological cardiomyocyte stiffness |
I.Lead to osmotic diuresis |
J.Increase hematocrit |
K.Lung fluid volume improved |
L.Improves diastolic function |
M.Improve cardiac remodeling |
N.Reduce ischemia–reperfusion injury |
5. Effects on fibrosis markers |
A.Decreased Mac-2 binding protein |
B.FIB-4 index decreased |
C.Significantly lower NAFIC scores |
6. Liver function improvement |
A.Reduced fatty liver index |
B.Decreased serum alanine aminotransferase, aspartate aminotransferase and gamma-glutamyltransferase levels |
C.Proton density fat fraction decreased |
7. Effects on the kidneys |
A.Reducing vascular volume |
B.Reduce blood uric acid levels |
C.Reduced proteinuria |
D.Stabilize eGFR |
E.Improve urinary albumin/creatinine ratio |
F.Reduced kidney disease progression |
G.Improve natriuresis |
8. SGLT2 inhibitors may reduce bone density |
9. Effects on inflammatory factors |
A.Decreses soluble dipeptidyl peptidase levels |
B.Decreases ICAM-1, VCAM-1, TNF-α and IL-6 |
10. Oxidative stress |
A.Reduce H2O2, GSH, lipid peroxide |
B.Prevent PKGIα oxidation |
11. Effect on anemia |
A.Decrease hepcidin levels |
B.Improve erythropoiesis |
C.Increase hemoglobin levels |