Correction to: SGLT2 Inhibitors: Cardiovascular Benefits Beyond HbA1c-Translating Evidence into Practice

Amar Ali1, Steve Bain2, Debbie Hicks3

  • 1Oakenhurst Medical Practice, Blackburn, UK.

Insights

Sodium-glucose cotransporter-2 inhibitors (SGLT2i) can be started at an estimated glomerular filtration rate (eGFR) of 60 mL/min/1.73 m². Existing patients on SGLT2i may continue until eGFR falls below 45 mL/min/1.73 m².

Area of Science:

  • Nephrology
  • Endocrinology
  • Pharmacology

Context:

  • Correction of a previously published guideline note regarding SGLT2 inhibitor initiation and continuation criteria.
  • Clarification of renal function thresholds for SGLT2 inhibitor therapy in clinical practice.

Purpose:

  • To provide accurate guidance on the use of SGLT2 inhibitors based on estimated glomerular filtration rate (eGFR).
  • To ensure appropriate patient management and safety concerning SGLT2 inhibitor treatment and renal function.

Summary:

  • The original publication's Table 2 note regarding SGLT2 inhibitor initiation has been corrected.
  • SGLT2 inhibitor therapies may be initiated in individuals with an eGFR of 60 mL/min/1.73 m².
  • Patients already treated with canagliflozin or empagliflozin can continue therapy until their eGFR reaches below 45 mL/min/1.73 m².

Impact:

  • Improved clinical decision-making for SGLT2 inhibitor prescribing.
  • Enhanced patient safety and optimized therapeutic outcomes in managing conditions like diabetes and heart failure.
  • Accurate dissemination of treatment guidelines to healthcare professionals.

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