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2017 ; 5
(ä): e3405
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Effects of sodium-glucose co-transporter 2 (SGLT2) inhibition on renal function
and albuminuria in patients with type 2 diabetes: a systematic review and
meta-analysis
#MMPMID28663934
Xu L
; Li Y
; Lang J
; Xia P
; Zhao X
; Wang L
; Yu Y
; Chen L
PeerJ
2017[]; 5
(ä): e3405
PMID28663934
show ga
AIM: To evaluate the effects of sodium-glucose co-transporter 2 (SGLT2)
inhibition on renal function and albuminuria in patients with type 2 diabetes.
METHODS: We conducted systematic searches of PubMed, Embase and Cochrane Central
Register of Controlled Trials up to June 2016 and included randomized controlled
trials of SGLT2 inhibitors in adult type 2 diabetic patients reporting estimated
glomerular filtration rate (eGFR) and/or urine albumin/creatinine ratio (ACR)
changes. Data were synthesized using the random-effects model. RESULTS:
Forty-seven studies with 22,843 participants were included. SGLT2 inhibition was
not associated with a significant change in eGFR in general (weighted mean
difference (WMD), -0.33 ml/min per 1.73 m(2), 95% CI [-0.90 to 0.23]) or in
patients with chronic kidney disease (CKD) (WMD -0.78 ml/min per 1.73 m(2), 95%
CI [-2.52 to 0.97]). SGLT2 inhibition was associated with eGFR reduction in
short-term trials (WMD -0.98 ml/min per 1.73 m(2), 95% CI [-1.42 to -0.54]), and
with eGFR preservation in long-term trials (WMD 2.01 ml/min per 1.73 m(2), 95% CI
[0.86 to 3.16]). Urine ACR reduction after SGLT2 inhibition was not statistically
significant in type 2 diabetic patients in general (WMD -7.24 mg/g, 95% CI
[-15.54 to 1.06]), but was significant in patients with CKD (WMD -107.35 mg/g,
95% CI [-192.53 to -22.18]). CONCLUSIONS: SGLT2 inhibition was not associated
with significant changes in eGFR in patients with type 2 diabetes, likely
resulting from a mixture of an initial reduction of eGFR and long-term renal
function preservation. SGLT2 inhibition was associated with statistically
significant albuminuria reduction in type 2 diabetic patients with CKD.