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Página principal > Artículos > Artículos publicados > Sodium-glucose cotransporter 2 inhibition : |
Fecha: | 2020 |
Resumen: | Sodium-glucose cotransporter 2 inhibitors (SGLT2i) have clearly demonstrated their beneficial effect in diabetic kidney disease (DKD) on top of the standard of care [blood glucose control, renin-angiotensin system blockade, smoking cessation and blood pressure (BP) control], even in patients with overt DKD. However, the indication of this drug class is still blood glucose lowering in type 2 diabetic patients with estimated glomerular filtration rate >45 mL/min/1. 73 m 2. Based on the new evidence, several scientific societies have emphasized the preferential prescription of SGLT2i for patients at risk of heart failure or kidney disease, but still within the limits set by health authorities. A rapid positioning of both the European Medicines Agency and the US Food and Drug Administration will allow patients with overt DKD to benefit from SGLT2i. Clinical experience suggests that SGLT2i safety management may in part mirror renin-angiotensin blockade safety management in patients with overt DKD. This review focuses on the rationale for an indication of SGTL2i in DKD. We further propose clinical steps for maximizing the safety of SGLT2i in DKD patients on other antidiabetic, BP or diuretic medication. |
Ayudas: | Instituto de Salud Carlos III PI16-02057 Instituto de Salud Carlos III PI17-00257 Instituto de Salud Carlos III RD016-0009 |
Nota: | Altres ajuts: Comunidad de Madrid en Biomedicina B2017/BMD-3686 CIFRA2-CM, and CIBER CV16/11/00420 |
Derechos: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. |
Lengua: | Anglès |
Documento: | Article de revisió ; Article ; Versió publicada |
Materia: | Chronic renal failure ; Diabetic kidney disease ; ESRD ; SGLT2 inhibitors ; Type 2 diabetes |
Publicado en: | Nephrology Dialysis Transplantation, Vol. 35 (January 2020) , p. i13-i23, ISSN 1460-2385 |
11 p, 407.0 KB |