SGLT-2 inhibitors

Module 4: SGLT-2 inhibitors and cardiovascular disease in type 2 diabetes

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CME Credits: 1
Module duration: 1 hour
Launch date: Winter 2023 (version 1)
Updated: -
Expiry date: March 2027
Audience: Diabetes and Metabolism Specialists (Advanced), Endocrinologists (Advanced)

Hello. I’m Miles Fisher. I’m a diabetologist at Glasgow Royal Infirmary and an Honorary Professor at the University of Glasgow. Heart failure and diabetes are common comorbidities. When you look at it from the heart failure perspective, about one-third of all patients with heart failure have diabetes and another third have impaired glucose tolerance, with only one-third having normal glucose tolerance. From the diabetes perspective, heart failure is now the single most common presenting feature for heart disease in people with diabetes. So, we need to have treatments that can potentially improve the outcome of both of these serious conditions.

This module delves deeper into cardiovascular outcomes from SGLT-2 trials, with a particular focus on the use of SGLT-2 inhibitors in people with heart failure and either a preserved or reduced ejection fraction.

Melanie J. Davies, Vanita R. Aroda, Billy S. Collins, Robert A. Gabbay, Jennifer Green, Nisa M. Maruthur, Sylvia E. Rosas, Stefano Del Prato, Chantal Mathieu, Geltrude Mingrone, Peter Rossing, Tsvetalina Tankova, Apostolos Tsapas, John B. Buse; Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 1 November 2022; 45 (11): 2753–2786.
http://doi.org/10.2337/dci22-0034

Assessment will rely in part on learners having read the following article referenced in this module.

Learning Outcomes

By the end of this module, you will be able to:

Interpret the data from cardiovascular outcomes trials investigating the use of SGLT-2 inhibitors in people with heart failure, with or without type 2 diabetes

Compare the cardiovascular outcomes trial data from people with type 2 diabetes, chronic heart failure and either a preserved or reduced ejection fraction

Plan the clinical management of people with type 2 diabetes and chronic heart failure with preserved and reduced ejection fraction


This module includes self-marked assessments, such as knowledge checks and/or case studies, as well as a marked final assessment, which you can attempt up to five times. To complete the module, you must review all chapters, pass the final assessment (80% pass mark), and fill in our feedback form.


Contributors

Professor
Miles Fisher
Author
Professor
John Petrie
Expert Reviewer
Assessment Setter
Professor
Caterina Conte
Assessment Setter
Assessment Setter
Assessment Setter
Professor (Emeritus)
David Matthews
Assessment Setter