"GLP-1 RA and SGLT2i in type 2 diabetes"
Speaker: The TI's @guillaume-grenet.bsky.social
👉 View recording: youtu.be/JUCIfScMqGY
#MedEd #CME #diabetes #CVD
"GLP-1 RA and SGLT2i in type 2 diabetes"
Speaker: The TI's @guillaume-grenet.bsky.social
👉 View recording: youtu.be/JUCIfScMqGY
#MedEd #CME #diabetes #CVD
• Gene-edited pig kidneys reveal complex immune responses
• eGFR and family history refine CKD progression risk
• SGLT2i and RNA therapies shift treatment strategies
pir.sh/0D3aPkJdlx
#Nephrology #Kidneydisease #CKD
• Gene-edited pig kidneys reveal complex immune responses
• eGFR and family history refine CKD progression risk
• SGLT2i and RNA therapies shift treatment strategies
pir.sh/0D3aPkJdlx
#Nephrology #Kidneydisease #CKD
Read here ➡️ doi.org/10.2337/dc25-1713
Read here ➡️ doi.org/10.2337/dc25-1713
UBC TI #BestEvidence Webinar:
"GLP-1 RA and SGLT2i in type 2 diabetes"
🔉 Speaker: The TI's @guillaume-grenet.bsky.social
👉 Register now: www.ti.ubc.ca/2026/02/03/g...
#MedEd #CME #diabetes #CVD
UBC TI #BestEvidence Webinar:
"GLP-1 RA and SGLT2i in type 2 diabetes"
🔉 Speaker: The TI's @guillaume-grenet.bsky.social
👉 Register now: www.ti.ubc.ca/2026/02/03/g...
#MedEd #CME #diabetes #CVD
Safety deserves emphasis.
INFINITI adds high-quality RCT data showing short-term SGLT2i use is feasible and well tolerated in stable KTRs.
#NephJC
Safety deserves emphasis.
INFINITI adds high-quality RCT data showing short-term SGLT2i use is feasible and well tolerated in stable KTRs.
#NephJC
Despite small MAP reductions, there was no improvement in arterial stiffness, SVR, or sympathetic tone.
This suggests transplant-specific vascular and tubular physiology may blunt traditional SGLT2i BP mechanisms.
Perhaps a longer study may have shown different results?⚠️
#NephJC
Despite small MAP reductions, there was no improvement in arterial stiffness, SVR, or sympathetic tone.
This suggests transplant-specific vascular and tubular physiology may blunt traditional SGLT2i BP mechanisms.
Perhaps a longer study may have shown different results?⚠️
#NephJC
👉 Strong glucosuria without natriuresis.
This challenges the classic SGLT2i narrative.
Possible explanations:
• Calcineurin-inhibitor–mediated sodium retention
• Rapid distal sodium reabsorption
• Altered tubular signaling in denervated grafts
#NephJC
👉 Strong glucosuria without natriuresis.
This challenges the classic SGLT2i narrative.
Possible explanations:
• Calcineurin-inhibitor–mediated sodium retention
• Rapid distal sodium reabsorption
• Altered tubular signaling in denervated grafts
#NephJC
Notably, this occurred without meaningful albuminuria reduction, aligning with growing evidence that SGLT2i benefits go beyond proteinuria.
Were you surprised there wasn’t lowering (of already low) albuminuria?
#NephJC
Notably, this occurred without meaningful albuminuria reduction, aligning with growing evidence that SGLT2i benefits go beyond proteinuria.
Were you surprised there wasn’t lowering (of already low) albuminuria?
#NephJC
📉The preserved acute GFR dip strongly suggests that intraglomerular pressure unloading still occurs in transplanted kidneys. The magnitude of the dip mirrors non-transplant SGLT2i trials — reinforcing that this is likely a hemodynamic, not toxic, effect.
#NephJC
📉The preserved acute GFR dip strongly suggests that intraglomerular pressure unloading still occurs in transplanted kidneys. The magnitude of the dip mirrors non-transplant SGLT2i trials — reinforcing that this is likely a hemodynamic, not toxic, effect.
#NephJC
Proteinuria
At baseline, participants had low-grade proteinuria -UACR ~2–3 mg/mmol- very low
After SGLT2i → NO significant reduction in UACR at 1 or 12 weeks
UACR and 24-hour urine protein excretion remained unchanged across timepoints, despite the clear mGFR dip. #NephJC
Proteinuria
At baseline, participants had low-grade proteinuria -UACR ~2–3 mg/mmol- very low
After SGLT2i → NO significant reduction in UACR at 1 or 12 weeks
UACR and 24-hour urine protein excretion remained unchanged across timepoints, despite the clear mGFR dip. #NephJC
Creatinine-based eGFR showed directionally similar changes, closely mirroring the early hemodynamic dip seen in native-kidney SGLT2i trials.
Crucially, this GFR dip was not accompanied by harm:
❌ No excess AKI
❌ No biochemical instability
❌ No signal for acute rejection
#NephJC
Creatinine-based eGFR showed directionally similar changes, closely mirroring the early hemodynamic dip seen in native-kidney SGLT2i trials.
Crucially, this GFR dip was not accompanied by harm:
❌ No excess AKI
❌ No biochemical instability
❌ No signal for acute rejection
#NephJC
Tubular sodium handling was studied using lithium clearance, allowing segment-specific assessment of proximal vs distal sodium handling, moving beyond crude natriuresis and directly testing classic SGLT2i mechanisms. #NephJC
Tubular sodium handling was studied using lithium clearance, allowing segment-specific assessment of proximal vs distal sodium handling, moving beyond crude natriuresis and directly testing classic SGLT2i mechanisms. #NephJC
However, kidney transplant recipients have been excluded from all major SGLT2i outcome trials—creating a major evidence gap. For better (overly cautious) or worse, we have limited safety and efficacy data for renal transplant patients. #NephJC
However, kidney transplant recipients have been excluded from all major SGLT2i outcome trials—creating a major evidence gap. For better (overly cautious) or worse, we have limited safety and efficacy data for renal transplant patients. #NephJC
There has been limited research on SGLT2i in renal transplant recipients till date, and this is the compilation of currently available data. #NephJC
Are you pumped to know how and how well #Flozins work in transplanted patients?
Let's deep dive in a few minutes!
SGLT2i has transformed the world of nephrology, with sustained effects on multiple hard end-points. Do their benefits transcend to transplant patients too? Let’s discuss #flozination in Transplant recipients today, 9PM EST in the #NephJC chat.
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SGLT2i has transformed the world of nephrology, with sustained effects on multiple hard end-points. Do their benefits transcend to transplant patients too? Let’s discuss #flozination in Transplant recipients today, 9PM EST in the #NephJC chat.
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🔗 academic.oup.com/ajh/article-... 🔒
(though seriously, what's the angle? SGLT2i? Dapa price gonna be crashing soon)
(though seriously, what's the angle? SGLT2i? Dapa price gonna be crashing soon)
"GLP-1 RA and SGLT2i in type 2 diabetes"
Speaker: The TI's @GrenetGuillaume
👉 Register now: www.ti.ubc.ca/2026/02/03/g...
#MedEd #CME #diabetes #CVD
"GLP-1 RA and SGLT2i in type 2 diabetes"
Speaker: The TI's @GrenetGuillaume
👉 Register now: www.ti.ubc.ca/2026/02/03/g...
#MedEd #CME #diabetes #CVD
www.nephjc.com/news/2026/2/8/infiniti-the-visual-abstract
www.nephjc.com/news/2026/2/8/infiniti-the-visual-abstract
2/10/26 at 9 pm EST we'll discuss
#Flozinating into the Future & Beyond...
SGLT2i in kidney transplant recipients.
What's the latest evidence of risk/benefit?
Do #Flozins act mechanistically the same in de-innervated kidneys?
Come chat.
www.nephjc.com/news/inifinti-flozins-transplant
2/10/26 at 9 pm EST we'll discuss
#Flozinating into the Future & Beyond...
SGLT2i in kidney transplant recipients.
What's the latest evidence of risk/benefit?
Do #Flozins act mechanistically the same in de-innervated kidneys?
Come chat.
www.nephjc.com/news/inifinti-flozins-transplant