Optimal use of SGLT2 inhibitors in diabetic kidney transplant recipients

Sodium-glucose cotransporter 2 inhibitor (SGLT2i), a glucosuric agent initially approved for use as an antidiabetic agent, was unexpectedly found to confer cardio-and reno-protective effects in individuals with or without type 2 diabetes mellitus. Despite mounting evidence suggesting that SGLT2i pro...

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Published in:Frontiers in Nephrology (Online) Vol. 2; p. 1014241
Main Authors: Pham, Phuong-Thu T, Pham, Phuong-Chi T
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 10-11-2022
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Summary:Sodium-glucose cotransporter 2 inhibitor (SGLT2i), a glucosuric agent initially approved for use as an antidiabetic agent, was unexpectedly found to confer cardio-and reno-protective effects in individuals with or without type 2 diabetes mellitus. Despite mounting evidence suggesting that SGLT2i provides cardio- and reno-protective benefits in both diabetic and non-diabetic and in chronic kidney disease (CKD) patients in the general population, reservations for its use in the transplant setting persist due to concerns for increased risk of genital mycotic and urinary tract infections. A comprehensive review of the literature on the efficacy and safety of SGLT2i use in diabetic kidney transplant recipients is herein presented followed by authors' opinion on its optimal use in this patient population.
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Reviewed by: Ayman Al Jurdi, Massachusetts General Hospital, Harvard Medical School, United States; Chi Yuen Simon Cheung, Queen Elizabeth Hospital (QEH), Hong Kong SAR, China
Edited by: Masoud Sadeghi, Kermanshah University of Medical Sciences, Iran
This article was submitted to Kidney Transplantation, a section of the journal Frontiers in Nephrology
ISSN:2813-0626
2813-0626
DOI:10.3389/fneph.2022.1014241