Created at 6:28 p.m. Dec, 01, 2024
Author: haneen
Related Note: 1462913839886 4
Rationale for change

The card stated that "SGLT-2 inhibitors are contraindicated in patients with renal insufficiency," but this phrasing is misleading.

According to UWorld (Question ID: 16507), SGLT-2 inhibitors can reduce progression of nephropathy and albuminuria, and they are contraindicated only when the GFR is less than 30–45 mL/min/1.73 m².

Additionally, UpToDate explains: "For patients in whom HF or DKD (albuminuria [urine albumin excretion >200 mg/day] and estimated glomerular filtration rate [eGFR] <60 but ≥20 mL/min/1.73 m²) predominate, we prescribe an SGLT2 inhibitor at a dose with demonstrated kidney benefit (e.g., empagliflozin 10 mg, canagliflozin 100 mg, dapagliflozin 10 mg)."

So I think using the term "contraindicated" in this general way would affect understanding.

UpToDate link : https://www.uptodate.com/contents/initial-management-of-hyperglycemia-in-adults-with-type-2-diabetes-mellitus?search=sglt2%20inhibitors&topicRef=109245&source=see_link

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#AK_Step1_v12::#SketchyPharm::05_GI_&_Endocrine::02_Diabetes::02_Metformin,_Thiazolidinediones,_Pramlintide,_SGLT2_Inhibitors #AK_Step1_v12::#SketchyPharm::05_GI_&_Endocrine::06_Retired_Lessons::03_Metformin,_thiazolidinediones,_pramlintide,_SGLT2_inhibitors_[Retired_Video] #AK_Step1_v12::#Physeo::^physeo_image_update #AK_Other::#AK_Original_Decks::Step_1::Zanki_Pharmacology #AK_Step1_v12::#FirstAid::08_Endocrine::05_Pharm::01_Diabetes_mellitus_therapy::*SGLT2_Inhibitors #AK_Step1_v12::#OME::PreClinical::04_Organ_Systems::06_Endocrine::05_Pancreas::03_Diabetes_Pharmacology #AK_Step1_v12::#UWorld::Step::604 #AK_Step2_v12::#SketchyIM::05_Endocrinology::01_Diabetes_Mellitus::02_Diabetes_Management #AK_Step1_v12::#Low/HighYield::2-RelativelyHighYield #AK_Step1_v12::^Systems::Endocrine::Pharmacology #AK_Step1_v12::#OME::04_Organ_Systems::06_Endocrine::05_Pancreas::03_Diabetes_Pharmacology #AK_Step1_v12::#Pixorize::03_Pharmacology::07_Diabetes_Drugs_(New)::09_SGLT2_Inhibitors #PANCE::ENDO::diabetes #AK_Step1_v12::#AMBOSS::0WaePj #PANCE::EOR::IM #AK_Step1_v12::#UWorld::COMLEX::23717 #AK_Step1_v12::#AMBOSS::mdaVqj #AK_Step1_v12::#Bootcamp::Endocrinology::07_Pancreas::09_Diabetes_Type_2_Management #AK_Step1_v12::#Physeo::09_Pharm::07_Endocrine::07_Sodium-glucose_Cotransporter_2_(SGLT2)_Inhibitors