Glucose Lowering Strategies for Cardiac Benefits: Pathophysiological Mechanisms.
Harpreet S BajajBernard ZinmanPublished in: Physiology (Bethesda, Md.) (2019)
Recent trials in Type 2 diabetes (T2D) have shown cardiovascular benefits with specific GLP-1 receptor agonists and SGLT2 inhibitors. We discuss the landscape of outcome trials in T2D from a pathophysiology viewpoint, review current knowledge gaps in underlying mechanisms, propose a caloric fuel routing hypothesis, and highlight areas of future research.