Kuhadiya Nitesh D, Mahmood Israa
Division of Endocrinology, Diabetes & Metabolism Renown Health, Reno & DECON (Diabetes & Endocrine Center of Nevada) Reno NV USA.
Division of Endocrinology, Diabetes & Metabolism Renown Health Reno NV USA.
Clin Case Rep. 2021 Mar 9;9(4):2310-2316. doi: 10.1002/ccr3.4022. eCollection 2021 Apr.
Renal protection is likely to be a class effect of SGLT-2 inhibitors and GLP-1RA. When used simultaneously, there may be a synergistic effect. Both agents are also safe to use in high renal risk patients (eGFR between 21 and 30 mL/min/1.73m).
肾脏保护作用可能是钠-葡萄糖协同转运蛋白2抑制剂(SGLT-2抑制剂)和胰高血糖素样肽-1受体激动剂(GLP-1RA)的类效应。同时使用时,可能会产生协同作用。这两种药物在高肾脏风险患者(估算肾小球滤过率在21至30毫升/分钟/1.73平方米之间)中使用也是安全的。