SGLT-2 inhibitors

Module 3: SGLT-2 inhibitors for renal protection in diabetes

Please log in to access the chapters in this module.
CME Credits: 2
Module duration: 2 hours
Launch date: Winter 2023 (version 1)
Updated: -
Expiry date: March 2027
Audience: Diabetes and Metabolism Specialists (Advanced), Endocrinologists (Advanced)

Hello, my name’s John Wilding. I’m a Professor of Medicine at the University of Liverpool, UK and I’m going to talk about sodium-glucose cotransporter-2 (SGLT-2) inhibitors for renal protection in diabetes, looking at some of the latest data from clinical trials.

Cardiovascular outcomes trials of SGLT-2 inhibitors pointed to significant benefits for kidney outcomes in type 2 diabetes, findings that were subsequently supported by real-world observational data. This module takes a closer look at what lies behind such benefits and reports results from three trials specifically designed to investigate the renal outcomes of treatment with SGLT-2 inhibitors: CREDENCE, DAPA-CKD and EMPA-KIDNEY.

Davies MJ, Aroda VR, Collins BS, Gabbay RA, Green J, Maruthur NM, Rosas SE, Del Prato S, Mathieu C, Mingrone G, Rossing P, Tankova T, Tsapas A, Buse JB. Management of Hyperglycaemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia 2022; 65, pages1925–1966.
http://link.springer.com/article/10.1007/s00125-022-05787-2

Assessment will rely in part on learners having read the following article referenced in this module.

Learning Outcomes

By the end of this module, you will be able to:

Explain the mechanisms that underlie the renal benefits seen when people with type 2 diabetes are treated with SGLT-2 inhibitors

Analyse the clinical trial evidence demonstrating that SGLT-2 inhibitors can prevent chronic kidney disease, as well as improve cardiovascular outcomes in people with type 2 diabetes

Plan the clinical management of people with type 2 diabetes and diabetic kidney disease, considering the evidence from current clinical trials and EASD/ADA guidelines


This module includes self-marked assessments, such as knowledge checks and/or case studies, as well as a marked final assessment, which you can attempt up to five times. To complete the module, you must review all chapters, pass the final assessment (80% pass mark), and fill in our feedback form.


Contributors

Professor
John Wilding
Author
Professor
David Wheeler
Expert Reviewer
Assessment Setter
Assessment Setter