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Role of Sodium-Glucose Transport Protein-2 Inhibitors in Renal Protection: A Narrative Review from the
Nan Ye1, Hong Cheng1
1Department of Nephrology, Beijing Anzhen Hospital, Capital Medical University, Beijing, People's Republic of China.
Insights
Cardiovascular-kidney-metabolic diseases require integrated management. Sodium-glucose cotransporter-2 (SGLT-2) inhibitors offer significant renal protection and aid in managing these interconnected conditions.
Area of Science:
- Internal Medicine
- Nephrology
- Cardiology
- Endocrinology
Background:
- Cardiovascular-kidney-metabolic (CKM) diseases represent a growing global health challenge.
- The interconnectedness of type 2 diabetes mellitus (T2D), cardiovascular disease (CVD), and chronic kidney disease (CKD) is well-documented.
- Integrated management strategies are essential for improving patient outcomes and reducing healthcare burdens.
Purpose of the Study:
- To review the role of renal protection within CKM syndrome.
- To highlight the significance of sodium-glucose cotransporter-2 (SGLT-2) inhibitors in managing CKM-related conditions.
- To discuss challenges and future directions for CKM syndrome management, particularly in China.
Main Methods:
- This study is a narrative review.
- It synthesizes current literature on CKM diseases, T2D, CVD, CKD, and SGLT-2 inhibitors.
- The review focuses on renal protection strategies and management challenges.
Main Results:
- SGLT-2 inhibitors demonstrate substantial benefits in renal protection.
- These agents are effective in managing metabolic and cardiovascular risk factors associated with CKM syndrome.
- The review identifies key challenges in current CKM syndrome management.
Conclusions:
- Renal protection is a critical component of managing CKM syndrome.
- SGLT-2 inhibitors are vital therapeutic agents for CKM syndrome.
- Addressing management challenges and exploring future strategies are crucial for public health in China and globally.
Abstract:
Cardiovascular-kidney-metabolic (CKM) diseases pose a significant global health burden and are becoming a major healthcare challenge. The intricate interplay among type 2 diabetes mellitus (T2D), cardiovascular disease (CVD) and chronic kidney disease (CKD) has been well established. Therefore, comprehensive management and early intervention are crucial to improving patient outcomes and reducing the strain on medical resources. This narrative review discusses the critical role of renal protection in the context of CKM syndrome, with a focus on the importance of sodium-glucose cotransporter-2 (SGLT-2) inhibitors. These drugs play a significant role in renal protection and in managing a variety of metabolic and cardiovascular disorders or risk factors. Additionally, the review underscores the challenges faced in managing CKM syndrome and suggests potential future directions in China. This reflects a comprehensive approach aimed at enhancing public health strategies in managing the complex interplay among kidney health, cardiovascular function, and metabolic status.
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