Sodium-Glucose Cotransporter-2 Inhibitor for Renal Function Preservation in Patients with Type 2 Diabetes Mellitus: A Korean Diabetes Association and Korean Society of Nephrology Consensus Statement.

Abstract:

:Diabetes is a leading cause of end-stage renal disease. Therefore, prevention of renal dysfunction is an important treatment goal in the management of diabetes. The data of landmark cardiovascular outcome trials of sodium-glucose cotransporter-2 (SGLT2) inhibitor showed profound reno-protective effects. The Korean Diabetes Association and the Korean Society of Nephrology reviewed clinical trials and performed meta-analysis to assess the effects of SGLT2 inhibitors on the preservation of estimated glomerular filtration rate (eGFR). We limited the data of SGLT2 inhibitors which can be prescribed in Korea. Both eGFR value and its change from the baseline were significantly more preserved in the SGLT2 inhibitor treatment group compared to the control group after 156 weeks. However, some known adverse events were increased in SGLT2 inhibitor treatment, such as genital infection, diabetic ketoacidosis, and volume depletion. We recommend the long-term use SGLT2 inhibitor in patients with type 2 diabetes mellitus (T2DM) for attenuation of renal function decline. However, we cannot generalize our recommendation due to lack of long-term clinical trials testing reno-protective effects of every SGLT2 inhibitor in a broad range of patients with T2DM. This recommendation can be revised and updated after publication of several large-scale renal outcome trials.

journal_name

Diabetes Metab J

authors

Oh TJ,Moon JY,Hur KY,Ko SH,Kim HJ,Kim T,Lee DW,Moon MK,Committee of Clinical Practice Guideline, Korean Diabetes Association.,Committee of the Cooperative Studies, Korean Society of Nephrology.

doi

10.4093/dmj.2020.0172

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

489-497

issue

4

eissn

2233-6079

issn

2233-6087

pii

44.489

journal_volume

44

pub_type

杂志文章,评审
  • Refocusing Peroxisome Proliferator Activated Receptor-α: A New Insight for Therapeutic Roles in Diabetes.

    abstract::Although glucose-lowering treatment shows some risk lowering effects in cardiovascular diseases, risks of macrovascular and microvascular complications have still remained, and development of new therapeutic strategies is needed. Recent data have shown that peroxisome proliferator activated receptor-α (PPAR-α) plays a...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2013.37.5.326

    authors: Seok H,Cha BS

    更新日期:2013-10-01 00:00:00

  • The Role of Advanced Glycation End Products in Diabetic Vascular Complications.

    abstract::In cases of chronic hyperglycemia, advanced glycation end-products (AGEs) are actively produced and accumulated in the circulating blood and various tissues. AGEs also accelerate the expression of receptors for AGEs, and they play an important role in the development of diabetic vascular complications through various ...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2017.0105

    authors: Rhee SY,Kim YS

    更新日期:2018-06-01 00:00:00

  • Nonalcoholic Fatty Liver Disease in Diabetes. Part I: Epidemiology and Diagnosis.

    abstract::Nonalcoholic fatty liver disease (NAFLD) and diabetes are common metabolic disorders whose prevalence rates are expected to rise worldwide, corresponding to aging and increasingly obese populations. Compared to the general population (around 25%), 50% to 70% of people with diabetes have NAFLD, and NAFLD severity (incl...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2019.0011

    authors: Lee YH,Cho Y,Lee BW,Park CY,Lee DH,Cha BS,Rhee EJ

    更新日期:2019-02-01 00:00:00

  • Diabetes epidemics in Korea: reappraise nationwide survey of diabetes "diabetes in Korea 2007".

    abstract::There are many studies on the prevalence, clinical characteristics, and economic burden of diabetes across the past four decades in Korea. Nonetheless, there is a dearth of nationwide study regarding diabetes encompassing all age group. Eight years ago, the Committee on the Epidemiology of Diabetes Mellitus of Korean ...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2013.37.4.233

    authors: Task Force Team for Basic Statistical Study of Korean Diabetes Mellitus of Korean Diabetes Association.,Park IeB,Kim J,Kim DJ,Chung CH,Oh JY,Park SW,Lee J,Choi KM,Min KW,Park JH,Son HS,Ahn CW,Kim H,Lee S,Lee IB,Choi I,B

    更新日期:2013-08-01 00:00:00

  • A cross-sectional study of the phenotypes of obesity and insulin resistance in adults with down syndrome.

    abstract:BACKGROUND:Despite the confluence of multiple cardiovascular risk factors, subclinical atherosclerotic damage and cardiovascular events remain extremely rare in adults with Down syndrome (DS). We aim to determine the prevalence of obesity and metabolic disorders in an adult cohort with DS and to compare our findings wi...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2014.38.6.464

    authors: Real de Asua D,Parra P,Costa R,Moldenhauer F,Suarez C

    更新日期:2014-12-01 00:00:00

  • A Journey to Understand Glucose Homeostasis: Starting from Rat Glucose Transporter Type 2 Promoter Cloning to Hyperglycemia.

    abstract::My professional journey to understand the glucose homeostasis began in the 1990s, starting from cloning of the promoter region of glucose transporter type 2 (GLUT2) gene that led us to establish research foundation of my group. When I was a graduate student, I simply thought that hyperglycemia, a typical clinical mani...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2018.0116

    authors: Ahn YH

    更新日期:2018-12-01 00:00:00

  • Retrospective analysis on the efficacy, safety and treatment failure group of sitagliptin for mean 10-month duration.

    abstract:BACKGROUND:To investigate the clinical results of sitagliptin (SITA) and the characteristics of the treatment failure group or of low responders to SITA. METHODS:A retrospective study of type 2 diabetic patients reviewed 99 cases, including 12 treatment failure cases, who stopped SITA because of worsening patients' co...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2011.35.3.290

    authors: Kim WJ,Park CY,Jeong EH,Seo JY,Seol JS,Park SE,Rhee EJ,Lee WY,Oh KW,Park SW,Kim SW

    更新日期:2011-06-01 00:00:00

  • Role of HbA1c in the Screening of Diabetes Mellitus in a Korean Rural Community.

    abstract:BACKGROUND:Recently, the measurement of glycated hemoglobin (HbA1c) was recommended as an alternative to fasting plasma glucose or oral glucose tolerance tests for diagnosing diabetes mellitus (DM). In this study, we analyzed HbA1c levels for diabetes mellitus screening in a Korean rural population. METHODS:We analyze...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2012.36.1.37

    authors: Kim JH,Kim GW,Lee MY,Shin JY,Shin YG,Koh SB,Chung CH

    更新日期:2012-02-01 00:00:00

  • Cardio-metabolic features of type 2 diabetes subjects discordant in the diagnosis of metabolic syndrome.

    abstract:BACKGROUND:The aim of this study is to investigate the cardio-metabolic parameters and surrogate markers of insulin resistance in a discordant group of type 2 diabetes (T2DM) subjects who satisfy the Adults Treatment Panel (ATP) III criteria, but not the International Diabetes Federation (IDF) criteria, for metabolic s...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2012.36.5.357

    authors: Lee SR,Han Y,Kim JW,Park JY,Kim JM,Suh S,Park MK,Lee HJ,Kim DK

    更新日期:2012-10-01 00:00:00

  • Metformin Ameliorates Lipotoxic β-Cell Dysfunction through a Concentration-Dependent Dual Mechanism of Action.

    abstract:BACKGROUND:Chronic exposure to elevated levels of free fatty acids contributes to pancreatic β-cell dysfunction. Although it is well known that metformin induces cellular energy depletion and a concomitant activation of AMP-activated protein kinase (AMPK) through inhibition of the respiratory chain, previous studies ha...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2018.0179

    authors: Kim HI,Lee JS,Kwak BK,Hwang WM,Kim MJ,Kim YB,Chung SS,Park KS

    更新日期:2019-12-01 00:00:00

  • Corrigendum: Table and Text Correction. Recent Updates on Type 1 Diabetes Mellitus Management for Clinicians.

    abstract::This corrects the article on p. 3 in vol. 42, PMID: 29504302. ...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,已发布勘误

    doi:10.4093/dmj.2018.42.2.177

    authors: Iqbal A,Novodvorsky P,Heller SR

    更新日期:2018-04-01 00:00:00

  • Subjective Assessment of Diabetes Self-Care Correlates with Perceived Glycemic Control but not with Actual Glycemic Control.

    abstract:BACKGROUND:We investigated whether patients' perceived glycemic control and self-reported diabetes self-care correlated with their actual glycemic control. METHODS:A survey was administered among patients with diabetes mellitus at an outpatient clinic with structured self-report questionnaires regarding perceived glyc...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2015.39.1.31

    authors: Ohn JH,Lee JH,Hong ES,Koo BK,Kim SW,Yi KH,Moon MK

    更新日期:2015-02-01 00:00:00

  • Non-Alcoholic Fatty Liver Disease: The Emerging Burden in Cardiometabolic and Renal Diseases.

    abstract::As the number of individuals with non-alcoholic fatty liver disease (NAFLD) has increased, the influence of NAFLD on other metabolic diseases has been highlighted. Accumulating epidemiologic evidence indicates that NAFLD not only affects the liver but also increases the risk of extra-hepatic diseases such as type 2 di...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2017.41.6.430

    authors: Han E,Lee YH

    更新日期:2017-12-01 00:00:00

  • Role of Intestinal Microbiota in Metabolism of Voglibose In Vitro and In Vivo.

    abstract:BACKGROUND:Voglibose, an α-glucosidase inhibitor, inhibits breakdown of complex carbohydrates into simple sugar units in intestine. Studies showed that voglibose metabolism in the liver might be negligible due to its poor intestinal absorption. Numerous microorganisms live in intestine and have several roles in metabol...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2019.0147

    authors: Nepal MR,Kang MJ,Kim GH,Cha DH,Kim JH,Jeong TC

    更新日期:2020-12-01 00:00:00

  • Risk Factors for the Development and Progression of Diabetic Kidney Disease in Patients with Type 2 Diabetes Mellitus and Advanced Diabetic Retinopathy.

    abstract:BACKGROUND:Some patients with type 2 diabetes mellitus (T2DM) do not develop diabetic kidney disease (DKD) despite the presence of advanced diabetic retinopathy (DR). We aimed to investigate the presence of DKD and its risk factors in patients with T2DM and advanced DR. METHODS:We conducted a cross-sectional study in ...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2016.40.6.473

    authors: Yun KJ,Kim HJ,Kim MK,Kwon HS,Baek KH,Roh YJ,Song KH

    更新日期:2016-12-01 00:00:00

  • Latent Autoimmune Diabetes in Adults: A Review on Clinical Implications and Management.

    abstract::Latent autoimmune diabetes in adults (LADA) is a heterogeneous disease characterized by a less intensive autoimmune process and a broad clinical phenotype compared to classical type 1 diabetes mellitus (T1DM), sharing features with both type 2 diabetes mellitus (T2DM) and T1DM. Since patients affected by LADA are init...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2018.0190

    authors: Pieralice S,Pozzilli P

    更新日期:2018-12-01 00:00:00

  • Novel Molecular Mechanisms in the Development of Non-Alcoholic Steatohepatitis.

    abstract::Non-alcoholic fatty liver disease (NAFLD) is one of the most common causes of chronic liver disease in adults and children worldwide. NAFLD has become a severe health issue and it can progress towards a more severe form of the disease, the non-alcoholic steatohepatitis (NASH). A combination of environmental factors, h...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2016.40.1.1

    authors: Povero D,Feldstein AE

    更新日期:2016-02-01 00:00:00

  • Hypoglycemia and Dementia Risk in Older Patients with Type 2 Diabetes Mellitus: A Propensity-Score Matched Analysis of a Population-Based Cohort Study.

    abstract:BACKGROUND:Type 2 diabetes mellitus (T2DM) is associated with an increased risk for dementia. The effects of hypoglycemia on dementia are controversial. Thus, we evaluated whether hypoglycemia increases the risk for dementia in senior patients with T2DM. METHODS:We used the Korean National Health Insurance Service Sen...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2018.0260

    authors: Kim YG,Park DG,Moon SY,Jeon JY,Kim HJ,Kim DJ,Lee KW,Han SJ

    更新日期:2020-02-01 00:00:00

  • Progression to Gestational Diabetes Mellitus in Pregnant Women with One Abnormal Value in Repeated Oral Glucose Tolerance Tests.

    abstract:BACKGROUND:Women with one abnormal value (OAV) in a 100 g oral glucose tolerance test (OGTT) during pregnancy are reported to have an increased risk of adverse pregnancy outcomes. However, there is limited data about whether women with OAV will progress to gestational diabetes mellitus (GDM) when the OGTT is repeated. ...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2018.0159

    authors: Kang S,Kim MH,Kim MY,Hong JS,Kwak SH,Choi SH,Lim S,Park KS,Jang HC

    更新日期:2019-10-01 00:00:00

  • Addition of Ipragliflozin to Metformin Treatment in Korean Patients with Type 2 Diabetes Mellitus: Subgroup Analysis of a Phase 3 Trial.

    abstract:BACKGROUND:This is a subgroup analysis of Korean patients from a phase 3 clinical trial investigating the efficacy and safety of ipragliflozin in patients with type 2 diabetes mellitus inadequately controlled with metformin. METHODS:This multicenter, placebo-controlled, double-blind, parallel-group study was carried o...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2017.41.2.135

    authors: Min KW,Ku BJ,Lee JH,Kim MS,Ahn KJ,Lee MK,Kokubo S,Yoshida S,Cho HJ,Cha BS

    更新日期:2017-04-01 00:00:00

  • Reducing Carbohydrate from Individual Sources Has Differential Effects on Glycosylated Hemoglobin in Type 2 Diabetes Mellitus Patients on Moderate Low-Carbohydrate Diets.

    abstract:BACKGROUND:We evaluated decreases in glycosylated hemoglobin (HbA1c) achieved by reducing carbohydrate from various sources in type 2 diabetes mellitus patients. METHODS:We followed up 138 male and 107 female outpatients on a moderate low-carbohydrate diet without diabetic medication for 6 months. Changes in carbohydr...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2020.0033

    authors: Haimoto H,Watanabe S,Maeda K,Murase T,Wakai K

    更新日期:2020-07-21 00:00:00

  • Serotonin as a New Therapeutic Target for Diabetes Mellitus and Obesity.

    abstract::Serotonin (5-hydroxytryptamine [5-HT]) is a monoamine that has various functions in both neuronal and non-neuronal systems. In the central nervous system, 5-HT regulates mood and feeding behaviors as a neurotransmitter. Thus, there have been many trials aimed at increasing the activity of 5-HT in the central nervous s...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2016.40.2.89

    authors: Oh CM,Park S,Kim H

    更新日期:2016-04-01 00:00:00

  • Comparison of Attitudes Regarding Quality of Life between Insulin-Treated Subjects with Diabetes Mellitus and Healthy Populations.

    abstract:BACKGROUND:Diabetes mellitus is a chronic disease and one of the main causes of mortality in developing countries. The main objective of treating all chronic diseases, of course, is to improve well-being and attain a satisfactory quality of life (QOL). The major goal of this study is comparison of attitude toward QOL i...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2011.35.4.397

    authors: Hashemi Hefz Abad F,Shabany Hamedan M

    更新日期:2011-08-01 00:00:00

  • FGF21 as a Stress Hormone: The Roles of FGF21 in Stress Adaptation and the Treatment of Metabolic Diseases.

    abstract::Fibroblast growth factor 21 (FGF21) is an endocrine hormone that is primarily expressed in the liver and exerts beneficial effects on obesity and related metabolic diseases. In addition to its remarkable pharmacologic actions, the physiological roles of FGF21 include the maintenance of energy homeostasis in the body i...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2014.38.4.245

    authors: Kim KH,Lee MS

    更新日期:2014-08-01 00:00:00

  • Skeletal Muscle Thermogenesis and Its Role in Whole Body Energy Metabolism.

    abstract::Obesity and diabetes has become a major epidemic across the globe. Controlling obesity has been a challenge since this would require either increased physical activity or reduced caloric intake; both are difficult to enforce. There has been renewed interest in exploiting pathways such as uncoupling protein 1 (UCP1)-me...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2017.41.5.327

    authors: Periasamy M,Herrera JL,Reis FCG

    更新日期:2017-10-01 00:00:00

  • Differences in Clinical Outcomes between Patients with and without Hypoglycemia during Hospitalization: A Retrospective Study Using Real-World Evidence.

    abstract:BACKGROUND:Some patients admitted to hospitals for glycemic control experience hypoglycemia despite regular meals and despite adhering to standard blood glucose control protocols. Different factors can have a negative impact on blood glucose control and prognosis after discharge. This study investigated risk factors fo...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2019.0064

    authors: Lee J,Kim TM,Kim H,Lee SH,Cho JH,Lee H,Yim HW,Yoon KH,Kim HS

    更新日期:2020-08-01 00:00:00

  • The Preventive Effects of 8 Weeks of Resistance Training on Glucose Tolerance and Muscle Fiber Type Composition in Zucker Rats.

    abstract:BACKGROUND:We investigated the therapeutic effects of resistance training on Zucker rats before and after the onset of diabetes to understand the importance of the timing of exercise intervention. We assessed whether 8 weeks of resistance training ameliorated impaired glucose tolerance and altered muscle fiber type com...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2015.39.5.424

    authors: Kim JY,Choi MJ,So B,Kim HJ,Seong JK,Song W

    更新日期:2015-10-01 00:00:00

  • Diabetic cardiomyopathy and its prevention by nrf2: current status.

    abstract::Diabetic cardiomyopathy (DCM), as one of the major cardiac complications in diabetic patients, is known to related with oxidative stress that is due to a severe imbalance between reactive oxygen species (ROS) and/or reactive nitrogen species (RNS) generation and their clearance by antioxidant defense systems. Transcri...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2014.38.5.337

    authors: Chen J,Zhang Z,Cai L

    更新日期:2014-10-01 00:00:00

  • The role of pyruvate dehydrogenase kinase in diabetes and obesity.

    abstract::The pyruvate dehydrogenase complex (PDC) is an emerging target for the treatment of metabolic syndrome. To maintain a steady-state concentration of adenosine triphosphate during the feed-fast cycle, cells require efficient utilization of fatty acid and glucose, which is controlled by the PDC. The PDC converts pyruvate...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章,评审

    doi:10.4093/dmj.2014.38.3.181

    authors: Lee IK

    更新日期:2014-06-01 00:00:00

  • An In Vitro Model to Probe the Regulation of Adipocyte Differentiation under Hyperglycemia.

    abstract:BACKGROUND:The aim of this study was an in vitro investigation of the effect of high glucose concentration on adipogenesis, as prolonged hyperglycemia alters adipocyte differentiation. METHODS:3T3-L1 preadipocytes differentiated in the presence of varying concentrations of glucose (25, 45, 65, 85, and 105 mM) were ass...

    journal_title:Diabetes & metabolism journal

    pub_type: 杂志文章

    doi:10.4093/dmj.2013.37.3.176

    authors: Shilpa K,Dinesh T,Lakshmi BS

    更新日期:2013-06-01 00:00:00