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Updated: Jan 27, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
[Update on Diabetic Kidney Disease 2018].
Reto Martin Venzin1, Thomas Fehr1
11 Kantonsspital Graubünden, Departement Innere Medizin.
New SGLT-2 inhibitor therapies for diabetic kidney disease enhance glucose excretion, improving glycemic control and renal outcomes by reducing hyperfiltration. These benefits are currently confirmed in type 2 diabetes patients.
Area of Science:
- Nephrology
- Endocrinology
- Pharmacology
Background:
- Diabetic kidney disease (DKD) is a major complication of diabetes mellitus.
- Historical descriptions of diabetes mellitus noted
- sweet honey urine
- linked to hyperglycemia.
- Glomerular hyperfiltration is a key pathophysiological mechanism in DKD.
Purpose of the Study:
- To review the therapeutic update on diabetic kidney disease.
- To highlight the role of SGLT-2 inhibitors in managing DKD.
- To explore the potential of SGLT-2 inhibitors in non-diabetic kidney diseases with hyperfiltration.
Main Methods:
- Review of current literature on diabetic kidney disease and SGLT-2 inhibitors.
- Analysis of the mechanism of action of SGLT-2 inhibitors.
- Discussion of clinical trial data regarding SGLT-2 inhibitors in type 2 diabetes.
Main Results:
- SGLT-2 inhibitors enhance glucosuria, aligning with historical "sweet urine" observations.
- These inhibitors improve glycemic control and reduce glomerular hyperfiltration in type 2 diabetic patients.
- Positive renal outcomes have been demonstrated in type 2 diabetic patients treated with SGLT-2 inhibitors.
Conclusions:
- SGLT-2 inhibitors represent a novel and effective therapy for diabetic kidney disease in type 2 diabetes.
- The reduction of glomerular hyperfiltration is a key mechanism for renal protection.
- Further research is warranted to investigate the efficacy of SGLT-2 inhibitors in other kidney diseases characterized by hyperfiltration.
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