Published: 23 July 2025
Author(s): Claudia Stöllberger, Josef Finsterer, Birke Schneider
Issue: July 2025
Section: Review Article

Sodium-Glucose Cotransporter-2 inhibitors (SGLT2i) are increasingly prescribed for diabetic and nondiabetic patients with and without heart failure (HF) or renal insufficiency [1]. SGLT2i reduce blood glucose levels by inhibiting renal glucose reabsorption in the proximal convoluted tubule. Adverse effects of SGLT2i comprise genito-urinary infections, ketoacidosis and volume depletion [2]. There are concerns that SGLT2i may also affect the skeletal muscle, either in form of myopathy or by promoting sarcopenia [3–6].

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