彻底预防糖尿病肾病可行吗?

U. A. Sharaf El Din, M. Salem
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引用次数: 0

摘要

当SGLT2Is在2008年首次作为降糖药被引入时,没有人意识到它们对2型糖尿病(T2DM)患者的心脏、肾脏和视网膜的保护作用。SGLT2Is彻底改变了T2DM患者已确定或有糖尿病肾病(DKD)风险的治疗方法。当Dapagliflosin在肾小球滤过率[eGFR] bb0 90 mL/min/1.73m2,尿白蛋白排泄正常的T2DM患者中进行研究时,这些病例仍易发生肾终点。这些结果提出了一个问题,即使用SGLT2Is完全阻止DKD发生的理想时间。本文将尝试回答这个问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is it Feasible to Completely Prevent Diabetic Kidney Disease?
When SGLT2Is were first introduced as hypoglycemic agents during the year 2008, no body was aware about their protective action on the heart, kidney, and retina of patients suffering type 2 diabetes mellitus (T2DM). SGLT2Is have revolutionized the treatment of T2DM patients with established or at risk for diabetic kidney disease (DKD). When Dapagliflosin was studied in T2DM patients with estimated glomerular filtration rate [eGFR] >90 mL/min/1.73m2, and normal urine albumin excretion, these cases were still susceptible to develop the renal end points. These results have raised the question about the ideal time to use SGLT2Is to completely abort the incidence of DKD. This review will try to answer this question.
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