Do you recommend starting SGLT2 inhibitors for patients with a normal creatinine but who have microalbuminuria and are unable to tolerate ACEi or ARBs?
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Is there any benefit to ckd patient of adding sgl2-I with no ace i or arb therapy
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1 Answer
Mednet Member
Nephrology · Georgia Nephrology
Answered on
In a patient who cannot tolerate RAAS inhibition with standard-of-care ARB or ACE-I, I still would still consider starting SGL2 in a patient with microalbuminuria.
In a diabetic patient, an SGL2 inhibitor would definitely be indicated, perhaps with an MRA.
The mechanism of benefit in SGL2 is debatab...
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