#sglt2i
🆕 UBC TI #BestEvidence Webinar recording!

"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
Dr. Guillaume Grenet: GLP-1 RA and SGLT2i in type 2 diabetes
YouTube video by Therapeutics Initiative
youtu.be
February 13, 2026 at 10:38 PM
Another real world parse of NAION risk from a VA new user cohort. The incidence rate of NAION was 123 per 100 000 person-years among semaglutide initiators and 67 per 100 000 person-years among SGLT2i #T2D jamanetwork.com/journals/jam...
New-Onset Nonarteritic Anterior Ischemic Optic Neuropathy and Initiators of Semaglutide in US Veterans With Type 2 Diabetes
This observational study emulates a target trial evaluating the risk of NAION associated with initiation of semaglutide, compared with a sodium-glucose cotransporter-2 inhibitor as second-line therapy...
jamanetwork.com
February 13, 2026 at 11:49 AM
The latest ASN Kidney Translation Podcast episode covers advances in kidney transplantation: an SGLT2i trial in kidney transplant recipients (CJASN), delivery outcomes after kidney transplantation (JASN), and strategies and policies for living donation (Kidney360). Tune in: kidney.pub/KTPOD022026
February 12, 2026 at 5:01 PM
Initiation of semaglutide in US veterans with type 2 #Diabetes was linked to a two-fold increased risk of nonarteritic anterior ischemic optic neuropathy compared with SGLT2 inhibitor initiation, though absolute risk was low. ja.ma/4riwx4X
February 12, 2026 at 4:30 PM
ข้อห้ามสำคัญ * ห้ามใช้ ARBs 2 ชนิด พร้อมกัน -> เสี่ยงไตพัง + โพแทสเซียมสูง ⚠️ ยาเสริมที่ช่วยได้ (แต่ไม่ใช่เพื่อความดันล้วนๆ) * SGLT2i (เช่น Dapagliflozin, Empagliflozin, หรือ Glucagon like peptide-1) / GLP1-RA (เช่น Semaglutide, Liraglutide) *
February 11, 2026 at 8:52 PM
🩺 Nephrology — Jan 2025

• 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
Nephrology Research Summary January 2026 - Summarized Science
Summary of key Nephrology publications highlighting major findings, clinical relevance, and emerging research trends.
pir.sh
February 11, 2026 at 8:35 PM
SGLT2i use associated with lower ULT, NSAID, high-dose glucocorticoid and diuretic use among gout patients, along with fewer flares. Implications for improving gout & cardiometabolic comorbidity care.

Read here ➡️ doi.org/10.2337/dc25-1713
February 11, 2026 at 6:30 PM
🕕 TODAY (Feb 11 @ Noon Pacific) 🕕

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
February 11, 2026 at 5:39 PM
T3f
Safety deserves emphasis.
INFINITI adds high-quality RCT data showing short-term SGLT2i use is feasible and well tolerated in stable KTRs.
#NephJC
February 11, 2026 at 2:47 AM
T3e
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
February 11, 2026 at 2:46 AM
T3d
👉 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
February 11, 2026 at 2:45 AM
T3c
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
February 11, 2026 at 2:44 AM
T3b
📉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
February 11, 2026 at 2:43 AM
T2g
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
February 11, 2026 at 2:38 AM
T2f
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

February 11, 2026 at 2:37 AM
T1h
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
February 11, 2026 at 2:25 AM
Should proteinuria have been an inclusion criterion, given how central it is to SGLT2i benefit in native CKD? #NephJC
February 11, 2026 at 2:24 AM
T0g
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
February 11, 2026 at 2:13 AM
⏰30 min before the #NephJC chat

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!
February 11, 2026 at 1:30 AM
⏰2 hours until #NephJC chat
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.
1/2
February 11, 2026 at 12:00 AM
Glad to have contributed to this study, which has a very relevant clinical point: the BP lowering effect of SGLT2i of 4-5 mmHg is independent of renal function #nephsky #sglt2i
February 10, 2026 at 8:06 PM
brought to you by big microalbumin

(though seriously, what's the angle? SGLT2i? Dapa price gonna be crashing soon)
February 10, 2026 at 12:54 AM
🚨UBC TI #BestEvidence Webinar

"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
February 9, 2026 at 6:50 PM
Hey #NephSky
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
To INFINITI and Beyond: SGLT2 Inhibitors in Kidney Transplant Patients — NephJC
This week, we aim for an INFINITe allograft lifespan. or flozination in kidney transplant.
www.nephjc.com
February 8, 2026 at 11:25 PM