The importance of treatment sequencing with <scp>SGLT2</scp> inhibitors and <scp>GLP</scp> ‐1 receptor agonists combination for kidney function preservation in type 2 diabetes

In people with T2D receiving combination therapy, initiating treatment with a SGLT2i was associated with greater long-term preservation of kidney function compared with starting with a GLP-1RA. Early SGLT2i use may confer better renal protection even when GLP-1RA intensification is subsequently required, confirming SGLT2i as a foundational therapy for preventing the decline in renal function in T2D.

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Publication Details

Journal
Diabetes Obesity and Metabolism
Published
2026-01-02
DOI
https://doi.org/10.1111/dom.70445
Primary Topic
Diabetes Treatment and Management
Type
article
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article

The importance of treatment sequencing with SGLT2 inhibitors and GLP ‐1 receptor agonists combination for kidney function preservation in type 2 diabetes

P. Fioretto, Monica Vedovato, MARIO LUCA MORIERI, Gian Paolo Fadini et al.
Diabetes Obesity and Metabolism
Diabetes Treatment and Management
article

The importance of treatment sequencing with SGLT2 inhibitors and GLP ‐1 receptor agonists combination for kidney function preservation in type 2 diabetes

P. Fioretto, Monica Vedovato, MARIO LUCA MORIERI, Gian Paolo Fadini, Benedetta Maria Bonora
article en

Abstract

In people with T2D receiving combination therapy, initiating treatment with a SGLT2i was associated with greater long-term preservation of kidney function compared with starting with a GLP-1RA. Early SGLT2i use may confer better renal protection even when GLP-1RA intensification is subsequently required, confirming SGLT2i as a foundational therapy for preventing the decline in renal function in T2D.

Diabetes Obesity and MetabolismVol. 28(4)
University of Padua (IT), Veneto Institute of Molecular Medicine (IT)
Good health and well-being
Openalex Percentile: Top 99%
Diabetes Treatment and Management
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