SGLT-2 inhibitors now first-line therapy for diabetes and CKD: new guidelinesĀ 

Updated recommendations focus on protective benefits for the heart and kidneys
Professor Sophia Zoungas.

Most patients with type 2 diabetes and chronic kidney disease should be managed with SGLT-2 inhibitors as first-line therapy in addition to lifestyle interventions, according to new guidance.

International researchers, including Australian endocrinologist Professor Sophia Zoungas, also advise renin–angiotensin–aldosterone system (RAAS) blockade ā€œat maximum tolerated doseā€ in those with comorbid hypertension and albuminuria.