Chronic Kidney Disease, Diabetes, Estimated Glomerular Filtration Rate, Sodium Glucose Co-Transporter 2 Inhibitors
Conditions
Brief summary
The work aimed to compare the effects of Sodium-glucose co-transporter-2 (SGLT2) inhibitors on glomerular filtration rate (GFR) in patients with diabetic chronic kidney disease (CKD) and non-diabetic CKD.
Detailed description
Glucose reabsorption is mediated by the sodium-glucose cotransporter (SGLT) 2, which reabsorbs 90% of glucose, and SGLT1, which reabsorbs the remaining 10%. The relationship between hyperglycaemia and the development of renal disease is complex. Hyperglycaemia-induced complications are mediated by several metabolic pathways, among which accumulation of Advanced Glycation End-products with abnormalities of the glycosylation of macromolecules and increased glucose flux through the polyol pathway seem to be the most important.
Interventions
All candidates start therapy with sodium glucose co-transporter 2 (SGLT2) inhibitors with a dose of 10mg daily Dapagliflozin for 6 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years. * Both sexes. * Chronic kidney disease (CKD) participants with stages 3 and 4.
Exclusion criteria
* Patients with type 1 diabetes mellitus (DM). * Patients with decompensated Chronic liver disease. * Patients with uncontrolled hypertension. * Patients with blood pressure (BP) \> 110/70. * Patients already on the same medication (Sodium Glucose Co-Transporter 2 Inhibitors). * Patients with a history of recurrent or recent urinary tract infection (UTI). * Patients with glycated hemoglobin (HbA1c) ≤10. * Adult polycystic kidney disease. * All patients on immunosuppressive medications.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the estimated glomerular filtration rate | 6 months post-procedure | Change in the estimated glomerular filtration rate (eGFR) was recorded. |
Countries
Egypt