PMID- 32938820 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201009 IS - 2211-9132 (Print) IS - 2211-9140 (Electronic) IS - 2211-9132 (Linking) VI - 39 IP - 3 DP - 2020 Sep 30 TI - 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. PG - 269-283 LID - 10.23876/j.krcp.20.132 [doi] AB - 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 sodiumglucose cotransporter-2 (SGLT2) inhibitors showed profound reno-protective effects. The Korean Diabetes Association and the Korean Society of Nephrology reviewed clinical trials and performed a 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 long-term use of SGLT2 inhibitors in patients with type 2 diabetes mellitus (T2DM) for attenuation of renal function decline. However, we cannot generalize our recommendations due to the lack of long-term clinical trials testing the reno-protective effects of every SGLT2 inhibitor in a broad range of patients with T2DM. This recommendation can be revised and updated after the publication of several large-scale renal outcome trials. FAU - Oh, Tae Jung AU - Oh TJ AUID- ORCID: 0000-0002-5078-6123 AD - Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. FAU - Moon, Ju-Young AU - Moon JY AUID- ORCID: 0000-0003-3244-8371 AD - Division of Nephrology, Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Republic of Korea. FAU - Hur, Kyu Yeon AU - Hur KY AUID- ORCID: 0000-0002-3065-7252 AD - Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. FAU - Ko, Seung Hyun AU - Ko SH AUID- ORCID: 0000-0003-3703-1479 AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea. FAU - Kim, Hyun Jung AU - Kim HJ AUID- ORCID: 0000-0002-9520-1109 AD - Department of Preventive Medicine, Korea University College of Medicine, Seoul, Republic of Korea. FAU - Kim, Taehee AU - Kim T AUID- ORCID: 0000-0002-3001-234X AD - Division of Nephrology, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University School of Medicine, Busan, Republic of Korea. FAU - Lee, Dong Won AU - Lee DW AUID- ORCID: 0000-0003-0282-484X AD - Division of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, Yangsan, Republic of Korea. FAU - Moon, Min Kyong AU - Moon MK AUID- ORCID: 0000-0002-5460-2846 AD - Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. AD - Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Republic of Korea. CN - Committee of Clinical Practice Guideline, Korean Diabetes Association and Committee of the Cooperative Studies, Korean Society of Nephrology LA - eng PT - Journal Article PL - Korea (South) TA - Kidney Res Clin Pract JT - Kidney research and clinical practice JID - 101586778 PMC - PMC7530358 OTO - NOTNLM OT - Diabetes mellitus OT - Glomerular filtration rate OT - Renal function OT - Sodium-glucose transporter-2 inhibitors OT - type 2 COIS- Conflicts of interest All authors have no conflicts of interest to declare. EDAT- 2020/09/18 06:00 MHDA- 2020/09/18 06:01 PMCR- 2020/09/30 CRDT- 2020/09/17 05:38 PHST- 2020/07/21 00:00 [received] PHST- 2020/08/07 00:00 [revised] PHST- 2020/08/09 00:00 [accepted] PHST- 2020/09/18 06:00 [pubmed] PHST- 2020/09/18 06:01 [medline] PHST- 2020/09/17 05:38 [entrez] PHST- 2020/09/30 00:00 [pmc-release] AID - j.krcp.20.132 [pii] AID - KRCP-39-269 [pii] AID - 10.23876/j.krcp.20.132 [doi] PST - ppublish SO - Kidney Res Clin Pract. 2020 Sep 30;39(3):269-283. doi: 10.23876/j.krcp.20.132.