Lung adenocarcinoma (LADC) premalignancy remains poorly understood, and diagnostic biomarkers are lacking. Scafoglio et al. analyse 58 human LADC samples and note that sodium glucose transporter 2 (SGLT2) is predominantly expressed in human premalignant and early-stage LADCs. Similarly, both expression and functional activity of SGLT2 were high in premalignant and early-stage LADC in genetically engineered mouse models (GEMMs) and patient-derived xenografts (PDXs). Oral treatment with the SGLT2 inhibitor canagliflozin — used to treat type 2 diabetes — delayed the onset of tumours and increased survival of GEMMs and reduced tumour volume in PDX models of LADC.