keyword
https://read.qxmd.com/read/38747416/screening-and-management-of-hypertensive-patients-with-chronic-kidney-disease-referred-to-hypertension-excellence-centres-among-27-countries-a-pilot-survey-based-on-questionnaire
#1
JOURNAL ARTICLE
Jean-Michel Halimi, Pantelis Sarafidis, Michel Azizi, Grzegorz Bilo, Thilo Burkard, Michael Bursztyn, Miguel Camafort, Neil Chapman, Santina Cottone, Tine de Backer, Jaap Deinum, Philippe Delmotte, Maria Dorobantu, Michalis Doumas, Rainer Dusing, Béatrice Duly-Bouhanick, Jean-Pierre Fauvel, Pierre Fesler, Zbigniew Gaciong, Eugenia Gkaliagkousi, Daniel Gordin, Guido Grassi, Charalampos Grassos, Dominique Guerrot, Justine Huart, Raffaele Izzo, Fernando Jaén Águila, Zoltán Járai, Thomas Kahan, Ilkka Kantola, Eva Kociánová, Florian P Limbourg, Marilucy Lopez-Sublet, Francesca Mallamaci, Athanasios Manolis, Maria Marketou, Gert Mayer, Alberto Mazza, Iain M MacIntyre, Jean-Jacques Mourad, Maria Lorenza Muiesan, Edgar Nasr, Peter Nilsson, Anna Oliveras, Olivier Ormezzano, Vitor Paixão-Dias, Ioannis Papadakis, Dimitris Papadopoulos, Sabine Perl, Jorge Polónia, Roberto Pontremoli, Giacomo Pucci, Nicolás Roberto Robles, Sébastien Rubin, Luis Miguel Ruilope, Lars Christian Rump, Sahrai Saeed, Elias Sanidas, Riccardo Sarzani, Roland Schmieder, François Silhol, Sekib Sokolovic, Marit Solbu, Miroslav Soucek, George Stergiou, Isabella Sudano, Ramzi Tabbalat, Istemihan Tengiz, Helen Triantafyllidi, Konstontinos Tsioufis, Jan Václavík, Markus van der Giet, Patricia Van der Niepen, Franco Veglio, Reto M Venzin, Margus Viigimaa, Thomas Weber, Jiri Widimsky, Grégoire Wuerzner, Parounak Zelveian, Pantelis Zebekakis, Stephan Lueders, Alexandre Persu, Reinhold Kreutz, Liffert Vogt
OBJECTIVE: Real-life management of hypertensive patients with chronic kidney disease (CKD) is unclear. METHODS: A survey was conducted in 2023 by the European Society of Hypertension (ESH) to assess management of CKD patients referred to ESH-Hypertension Excellence Centres (ESH-ECs) at first referral visit. The questionnaire contained 64 questions with which ESH-ECs representatives were asked to estimate preexisting CKD management quality. RESULTS: Overall, 88 ESH-ECs from 27 countries participated (fully completed surveys: 66/88 [75...
May 14, 2024: Journal of Hypertension
https://read.qxmd.com/read/38719507/cardiovascular-and-mortality-benefits-of-sodium-glucose-cotransporter-2-inhibitors-and-glucagon-like-peptide-1-receptor-agonists-as-third-step-glucose-lowering-medicine-in-patients-with-type-2-diabetes-a-retrospective-cohort-analysis
#2
JOURNAL ARTICLE
Thomas A McCormick, Jason Kramer, Elizabeth G Liles, Qiana Amos, John P Martin, John L Adams
INTRODUCTION: Studies have found that sodium-glucose cotransporter 2 inhibitors (SGLT2) and glucagon-like peptide 1 receptor agonists (GLP1) have cardiovascular benefits for patients with type 2 diabetes (DM2) and atherosclerotic cardiovascular disease (ASCVD), chronic kidney disease (CKD), or heart failure (HF). The literature does not provide evidence specifically for patients with these conditions who are adding one of these medicines to two glucose-lowering medications (ie, as "third-step" therapy)...
May 6, 2024: BMJ Open Diabetes Research & Care
https://read.qxmd.com/read/38711815/approach-to-weight-management-in-patients-with-advanced-chronic-kidney-disease-in-a-real-life-clinical-setting
#3
JOURNAL ARTICLE
Paola Lockhart Pastor, Amin Amin, Daniel Galvan, Ofelia Negrete Vasquez, Jaime P Almandoz, Ildiko Lingvay
OBJECTIVE: Excess adiposity represents a risk factor for chronic kidney disease (CKD) and progression to end-stage kidney disease. Anti-Obesity Medications (AOMs) are vastly underutilized in patients with advanced CKD because of concerns related to safety and efficacy. This study was conducted to evaluate the real-world approach to weight management and the efficacy and safety of AOMs in people with advanced CKD. METHODS: This is a retrospective analysis of individuals with Body Mass Index (BMI) ≥ 27 kg/m2 and eGFR ≤ 30 mL/min/1...
June 2024: Obesity Science & Practice
https://read.qxmd.com/read/38695228/-anti-proteinuric-effect-of-glp1-ra-as-add-on-to-sglt2-i-and-ace-i-in-a-diabetic-patient-with-iga-nephropathy
#4
JOURNAL ARTICLE
Maria Elena Malighetti, Matteo Faletto
Immunoglobulin A (IgA) nephropathy is a common glomerulonephritis, but its treatment remains matter of debate. Recommendation for corticosteroids has been supported, but renin-angiotensin inhibitors, RAAS, and sodium-glucose co-transporter 2 inhibitors (SGLT2i) are increasingly used because of a better benefit/safety balance in comparison with systemic steroids and immunosuppressive treatments. In this case report, a patient with type 2 diabetes (T2DM) and biopsy-proven nephrotic IgA-related nephropathy documented a rapid meaningful reduction of proteinuria and the effect was persistent for 2 years, after receiving the treatment with a GLP1-RA on top of the previous treatment with ACE-inhibitors and SGLT2-i...
April 29, 2024: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://read.qxmd.com/read/38654832/adipocentric-origin-of-the-common-cardiometabolic-complications-of-obesity-in-the-young-up-to-the-very-old-pathophysiology-and-new-therapeutic-opportunities
#5
REVIEW
Riccardo Sarzani, Matteo Landolfo, Chiara Di Pentima, Beatrice Ortensi, Paolo Falcioni, Lucia Sabbatini, Adriano Massacesi, Ilaria Rampino, Francesco Spannella, Federico Giulietti
Obesity is a multifactorial chronic disease characterized by an excess of adipose tissue, affecting people of all ages. In the last 40 years, the incidence of overweight and obesity almost tripled worldwide. The accumulation of "visceral" adipose tissue increases with aging, leading to several cardio-metabolic consequences: from increased blood pressure to overt arterial hypertension, from insulin-resistance to overt type 2 diabetes mellitus (T2DM), dyslipidemia, chronic kidney disease (CKD), and obstructive sleep apnea...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38639549/newer-pharmacologic-treatments-in-adults-with-type-2-diabetes-a-systematic-review-and-network-meta-analysis-for-the-american-college-of-physicians
#6
REVIEW
Tyler Drake, Adrienne Landsteiner, Lisa Langsetmo, Roderick MacDonald, Maylen Anthony, Caleb Kalinowski, Kristen Ullman, Charles J Billington, Anjum Kaka, Shahnaz Sultan, Timothy J Wilt
BACKGROUND: Newer diabetes medications may have beneficial effects on mortality, cardiovascular outcomes, and renal outcomes. PURPOSE: To evaluate the effectiveness, comparative effectiveness, and harms of sodium-glucose cotransporter-2 (SGLT2) inhibitors, glucagon-like peptide-1 (GLP1) agonists, dipeptidyl peptidase-4 (DPP4) inhibitors, and long-acting insulins as monotherapy or combination therapy in adults with type 2 diabetes mellitus (T2DM). DATA SOURCES: MEDLINE and EMBASE for randomized controlled trials (RCTs) published from 2010 through January 2023...
April 19, 2024: Annals of Internal Medicine
https://read.qxmd.com/read/38610694/new-onset-diabetes-mellitus-after-kidney-transplantation
#7
REVIEW
Salah Alajous, Pooja Budhiraja
New-Onset Diabetes Mellitus after Transplantation (NODAT) emerges as a prevalent complication post-kidney transplantation, with its incidence influenced by variations in NODAT definitions and follow-up periods. The condition's pathophysiology is marked by impaired insulin sensitivity and β-cell dysfunction. Significant risk factors encompass age, gender, obesity, and genetics, among others, with the use of post-transplant immunosuppressants intensifying the condition. NODAT's significant impact on patient survival and graft durability underscores the need for its prevention, early detection, and treatment...
March 27, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38592682/the-uricosuric-effect-of-sglt2-inhibitors-is-maintained-in-the-long-term-in-patients-with-chronic-kidney-disease-and-type-2-diabetes-mellitus
#8
JOURNAL ARTICLE
Paula Sánchez-Briales, María Marques Vidas, Paula López-Sánchez, María Victoria López-Illázquez, Lucía Martín-Testillano, Aylin Vedat-Ali, Jose Portolés
(1) Background: Sodium-glucose co-transporter 2 inhibitors (SGLT2is) increase uric acid excretion. The intensity of uricosuria is linked to glycosuria. (2) Methods: We aim to analyze the effect of SGLT2 inhibitors on urinary fractional excretion (FE) of uric acid and glucose in patients with type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) in a single-center retrospective study with patients with T2DM and CKD who started on treatment with SGLT2is. Patients on renal replacement therapy or with glucagon-like peptide-1 (GLP1) analogs were excluded...
February 27, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38584180/risk-of-diabetic-retinopathy-and-diabetic-macular-oedema-with-sodium-glucose-cotransporter-2-inhibitors-and-glucagon-like-peptide-1-receptor-agonists-in-type-2-diabetes-a-real-world-data-study-from-a-global-federated-database
#9
JOURNAL ARTICLE
Aikaterini Eleftheriadou, David Riley, Sizheng S Zhao, Philip Austin, Gema Hernández, Gregory Y H Lip, Timothy L Jackson, John P H Wilding, Uazman Alam
AIMS/HYPOTHESIS: A protective role of sodium-glucose cotransporter 2 inhibitors (SGLT2is) and glucagon-like peptide 1 receptor agonists (GLP1-ra) in the development of diabetic retinopathy and diabetic macular oedema has been described in some recent studies, which may extend beyond glycaemic control. We aimed to review the clinical impact of SGLT2i and GLP1-ra therapy on the risk of diabetic retinopathy and diabetic macular oedema in individuals with type 2 diabetes taking insulin. METHODS: This is a retrospective cohort analysis of approximately two million people with type 2 diabetes receiving insulin across 97 healthcare organisations using a global federated health research network (TriNetX, Cambridge, USA)...
April 8, 2024: Diabetologia
https://read.qxmd.com/read/38540270/transforming-diabetes-care-the-molecular-pathways-through-which-glp1-ras-impact-the-kidneys-in-diabetic-kidney-disease
#10
REVIEW
Merita Rroji, Goce Spasovski
Diabetic kidney disease (DKD) is a substantial complication of type 2 diabetes (T2D), presenting challenges in chronic kidney disease (CKD) management. In addition to traditional and recent therapies, including angiotensin, converting enzyme (ACE) inhibitors, angiotensin receptor blockers, sodium-glucose cotransporter 2 (SGLT2) inhibitors, and mineralocorticoid receptor antagonists, the evolution of antihyperglycemic treatments has introduced a promising agent, glucagon-like peptide-1 receptor agonist (GLP-1RA) for the management of DKD...
March 14, 2024: Biomedicines
https://read.qxmd.com/read/38472936/unraveling-chronic-cardiovascular-and-kidney-disorder-through-the-butterfly-effect
#11
REVIEW
Dimitri Bedo, Thomas Beaudrey, Nans Florens
Chronic Cardiovascular and Kidney Disorder (CCKD) represents a growing challenge in healthcare, characterized by the complex interplay between heart and kidney diseases. This manuscript delves into the "butterfly effect" in CCKD, a phenomenon in which acute injuries in one organ lead to progressive dysfunction in the other. Through extensive review, we explore the pathophysiology underlying this effect, emphasizing the roles of acute kidney injury (AKI) and heart failure (HF) in exacerbating each other. We highlight emerging therapies, such as renin-angiotensin-aldosterone system (RAAS) inhibitors, SGLT2 inhibitors, and GLP1 agonists, that show promise in mitigating the progression of CCKD...
February 20, 2024: Diagnostics
https://read.qxmd.com/read/38388753/phenotype-based-targeted-treatment-of-sglt2-inhibitors-and-glp-1-receptor-agonists-in-type-2-diabetes
#12
JOURNAL ARTICLE
Pedro Cardoso, Katie G Young, Anand T N Nair, Rhian Hopkins, Andrew P McGovern, Eram Haider, Piyumanga Karunaratne, Louise Donnelly, Bilal A Mateen, Naveed Sattar, Rury R Holman, Jack Bowden, Andrew T Hattersley, Ewan R Pearson, Angus G Jones, Beverley M Shields, Trevelyan J McKinley, John M Dennis
AIMS/HYPOTHESIS: A precision medicine approach in type 2 diabetes could enhance targeting specific glucose-lowering therapies to individual patients most likely to benefit. We aimed to use the recently developed Bayesian causal forest (BCF) method to develop and validate an individualised treatment selection algorithm for two major type 2 diabetes drug classes, sodium-glucose cotransporter 2 inhibitors (SGLT2i) and glucagon-like peptide-1 receptor agonists (GLP1-RA). METHODS: We designed a predictive algorithm using BCF to estimate individual-level conditional average treatment effects for 12-month glycaemic outcome (HbA1c ) between SGLT2i and GLP1-RA, based on routine clinical features of 46,394 people with type 2 diabetes in primary care in England (Clinical Practice Research Datalink; 27,319 for model development, 19,075 for hold-out validation), with additional external validation in 2252 people with type 2 diabetes from Scotland (SCI-Diabetes [Tayside & Fife])...
February 22, 2024: Diabetologia
https://read.qxmd.com/read/38362889/potential-mediators-for-treatment-effects-of-novel-diabetes-medications-on-cardiovascular-and-renal-outcomes-a%C3%A2-meta-regression-analysis
#13
JOURNAL ARTICLE
José M Rodriguez-Valadez, Malak Tahsin, Umesh Masharani, Meyeon Park, M G Myriam Hunink, Joseph Yeboah, Lihua Li, Ellerie Weber, Asem Berkalieva, Luuk Avezaat, Wendy Max, Kirsten E Fleischmann, Bart S Ferket
BACKGROUND: Prior research suggests clinical effects of glucagon-like peptide-1 receptor agonists (GLP-1RAs) and sodium-glucose cotransporter-2 inhibitors (SGLT2is) are mediated by changes in glycated hemoglobin, body weight, systolic blood pressure, hematocrit, and urine albumin-creatinine ratio. We aimed to confirm these findings using a meta-analytic approach. METHODS AND RESULTS: We updated a systematic review of 9 GLP-1RA and 13 SGLT2i trials and summarized longitudinal mediator data...
February 16, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38361246/glucagon-like-peptide-1-receptor-agonists-and-cardiovascular-outcomes-in-solid-organ-transplant-recipients-with-diabetes-mellitus
#14
JOURNAL ARTICLE
Idit Dotan, Yaron Rudman, Adi Turjeman, Amit Akirov, Tali Steinmetz, Bronya Calvarysky, Talia Diker Cohen
BACKGROUND: Glucagon-like peptide 1 receptor agonists (GLP1-RAs) reduce cardiovascular events and mortality in type 2 diabetes. Limited data are available on diabetes treatment after solid organ transplantation. We aimed to explore the effect of GLP1-RAs on cardiovascular outcomes in transplanted recipients with diabetes. METHODS: We extracted data on adult transplant recipients (kidney, lungs, liver, heart) insured in a large health maintenance organization. Death-censored patients with diabetes treated with GLP1-RAs were matched with nonusers...
February 16, 2024: Transplantation
https://read.qxmd.com/read/38299776/how-to-assess-kidney-outcomes-in-obese-people-with-substantial-weight-loss-the-case-of-glp1-and-dual-receptor-agonists
#15
JOURNAL ARTICLE
Amy E Rothberg, William H Herman
No abstract text is available yet for this article.
January 31, 2024: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/38275636/anti-inflammation-and-anti-oxidation-the-key-to-unlocking-the-cardiovascular-potential-of-sglt2-inhibitors-and-glp1-receptor-agonists
#16
REVIEW
Veronika A Myasoedova, Michele Bozzi, Vincenza Valerio, Donato Moschetta, Ilaria Massaiu, Valentina Rusconi, Daniele Di Napoli, Michele Ciccarelli, Valentina Parisi, Piergiuseppe Agostoni, Stefano Genovese, Paolo Poggio
Type 2 diabetes mellitus (T2DM) is a prevalent and complex metabolic disorder associated with various complications, including cardiovascular diseases. Sodium-glucose co-transporter 2 inhibitors (SGLT2i) and glucagon-like peptide 1 receptor agonists (GLP1-RA) have emerged as novel therapeutic agents for T2DM, primarily aiming to reduce blood glucose levels. However, recent investigations have unveiled their multifaceted effects, extending beyond their glucose-lowering effect. SGLT2i operate by inhibiting the SGLT2 receptor in the kidneys, facilitating the excretion of glucose through urine, leading to reduced blood glucose levels, while GLP1-RA mimic the action of the GLP1 hormone, stimulating glucose-dependent insulin secretion from pancreatic islets...
December 20, 2023: Antioxidants (Basel, Switzerland)
https://read.qxmd.com/read/38256482/chronic-kidney-disease-in-the-older-adult-patient-with-diabetes
#17
REVIEW
Raja Ravender, Maria-Eleni Roumelioti, Darren W Schmidt, Mark L Unruh, Christos Argyropoulos
Diabetes mellitus (DM) and chronic kidney disease (CKD) are common in middle aged and older adult individuals. DM may accelerate the aging process, and the age-related declines in the estimated glomerular filtration rate (eGFR) can pose a challenge to diagnosing diabetic kidney disease (DKD) using standard diagnostic criteria especially with the absence of severe albuminuria among older adults. In the presence of CKD and DM, older adult patients may need multidisciplinary care due to susceptibility to various health issues, e...
January 8, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38212831/effects-of-finerenone-and-glucagon-like-peptide-1-receptor-agonists-on-cardiovascular-and-renal-outcomes-in-type-2-diabetes-mellitus-a-systematic-review-and-meta-analysis
#18
JOURNAL ARTICLE
Xia Gu, Shimin Jiang, Yue Yang, Wenge Li
OBJECTIVE: To assess the effects of finerenone and glucagon-like peptide 1 receptor agonists (GLP1-RA) on cardiovascular and renal outcomes in patients with type 2 diabetes mellitus (T2DM), and the relative cardiovascular benefits in patients with or without established atherosclerotic cardiovascular disease for different outcomes with these classes of drugs. METHODS: We searched PubMed, the Cochrane Library, and Embase from January 1, 2000, to December 30, 2022, to identify randomized controlled trials...
January 11, 2024: Diabetology & Metabolic Syndrome
https://read.qxmd.com/read/38201269/glp1-receptor-agonists-effects-beyond-obesity-and-diabetes
#19
REVIEW
Sydney S Wilbon, Mikhail G Kolonin
Glucagon-like peptide-1 receptor agonists (GLP1RA) have been transformative for patients and clinicians in treating type-2 diabetes and obesity. Drugs of this class, the bioavailability of which is continuously improving, enable weight loss and control blood glucose with minimal unwanted side effects. Since adopting GLP1RA for treating metabolic diseases, animal and clinical studies have revealed their beneficial effects on several other pathologies, including cardiovascular diseases, neurodegeneration, kidney disease, and cancer...
December 28, 2023: Cells
https://read.qxmd.com/read/38153863/medicare-formulary-restrictions-for-glucagon-like-peptide-1-receptor-agonists-and-sodium-glucose-cotransporter-2-inhibitors-used-in-type-2-diabetes-mellitus-2019-2023
#20
JOURNAL ARTICLE
Brady Wisniewski, Eric Smith, Jasmeen Kaur, Ciara Sherling, Shravani Vanapalli, Mia Lussier
BACKGROUND: Glucagon-like peptide 1 receptor agonists (GLP1-RAs) and sodium glucose cotransporter 2 inhibitors (SGLT2is) have proven benefits in patients with type 2 diabetes mellitus related to decreasing cardiovascular events and heart failure hospitalizations as well as preventing the progression of kidney disease. This led the American Diabetes Association (ADA) to update their guidelines in 2022 to recommend GLP1-RAs and SGLT2is as potential first-line options in patients with cardiorenal conditions...
January 2024: Journal of Managed Care & Specialty Pharmacy
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