Which Hypoglycaemic Agents to use in Type 2 Diabetes and CKD and How?

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Which Hypoglycaemic Agents to use in Type 2 Diabetes and CKD and How?

Abstract


DCCT, UKPDS and Kumamoto studies clearly indicatethat good glycaemic control can reduce the risk of nephropathyin subjects with both type 1 and type 2 diabetes. Furthermore, the recent ADVANCE trial confirmed that much tighter glycaemiccontrol (mean HbA1c = 6.5%) is beneficial for nephropathy insubjects with type 2 diabetes. In order to achieve tightglycaemic control, we would like to try to describe which hypoglycaemicagents to use in type 2 diabetic subjects with CKD and how, in this comment.

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