SGLT-2 inhibitors

How would you care for this diabetes patient who survived a heart attack?

Earn up to 0.5 AMA PRA Category 1 CME credits for the “Type 2 Diabetes and Cardiovascular Disease Risk Management” interactive case study that allows you to follow a patient through key stages and decision points in her diabetes care. Claim your credits by completing the survey and posttest.

 

Here We Go Again: Another New Therapy For Type 2 Diabetes

(Full disclosure – I am an Advisor to Janssen pharmaceuticals that makes canagliflozin) 
 
An FDA advisory panel last week reviewed canagliflozin, with the majority recommending approval. Canaglifozin is the first member of a new class of oral medications for type 2 diabetes–sodium-glucose co-transportor-2 (SGLT2) inhibitors–that will likely make it to the U.S. market.

Who is the Right Patient for SGLT-2 Inhibitors?

Dr. Leahy’s comments are right-on target. Some further observations by another endocrinologist who can’t determine who the best patient for this new class of drugs will be:
 
1.     The advisory committee had problems with the bump in LDL-cholesterol. True, this is a surrogate, not a true “outcome” that will be determined in the CANVAS study. But do you recall the last time we had this debate with a diabetes drug?