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How much decrease in eGFR do you tolerate before discontinuing a SGLT2i started in patients with diabetic kidney disease?

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Mednet Member
Mednet Member
Nephrology · University Hospitals Cleveland Medical Center

SGLT2i are known to have an acute, reversible dip in eGFR in the first 2-4 weeks after initiation. This effect on glomerular hemodynamics (more pronounced in diabetics) usually decreases eGFR by less than 30% and has been associated with better long-term cardio-renal benefits in some studies. A dip ...

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