ACTING EARLY TO PROTECT RENAL: BEYOND GLYCEMIC CONTROL OF SGLT2 INHIBITORS
نویسندگان
چکیده
Type 2 Diabetes Mellitus (T2DM) is the leading cause of chronic kidney disease (CKD), accounting for almost half all cases failure that necessitate replacement therapy. Cardiovascular (CVD) death in patients with T2DM and CKD. To lower blood glucose levels by inhibiting reabsorption proximal tubule, sodium/glucose cotransporter inhibitors (SGLT2-i) were developed. Consistent reductions risks secondary end points (albuminuria a composite serum creatinine doubling or 40% estimated glomerular filtration rate decline, failure, death) recognized clinical trials designed to demonstrate CVD safety SGLT2i type diabetes mellitus (T2DM), as well events. The DECLARE-TIMI58 (Dapagliflozin Effect on Events-Thrombolysis Myocardial Infarction 58, DECLARE) trial T2DM, urinary albumin-creatinine ratio >300 mg/g, 30 90 mL/min/1.73 m2 established benefits dapagliflozin boost hemodynamic function are figured augment other local systemic processes contribute development CKD CVD. According latest Indonesian Society Endocrinologist’s guideline, was recommended use reduce their risk CVD, accordance entry criteria. achieve widespread these life-saving medications, effective implementation strategies required.
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ژورنال
عنوان ژورنال: Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sriwijaya
سال: 2022
ISSN: ['2746-7805']
DOI: https://doi.org/10.32539/confmednatalisunsri.v4i1.95