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Impact of canagliflozin on the cardiorenal effects of dietary sodium intake in type 2 diabetes: a post hoc analysis of the CREDENCE trial - PubMed

7 hours ago
  • #Chronic Kidney Disease
  • #Canagliflozin
  • #Type 2 Diabetes
  • Canagliflozin, an SGLT2 inhibitor, was studied for its cardiorenal effects in type 2 diabetes patients with chronic kidney disease (CKD).
  • Dietary sodium intake was categorized into low-normal sodium (LNS) and high sodium (HS) groups, with LNS linked to increased heart failure and cardiovascular death risk in the placebo group.
  • Canagliflozin significantly reduced the risk of heart failure and cardiovascular death in the LNS group but showed no significant effect in the HS group.
  • Renal outcomes were unaffected by sodium intake, but canagliflozin provided renal protection regardless of sodium levels.
  • All-cause mortality was not influenced by either sodium intake or canagliflozin treatment.
  • The study suggests that canagliflozin mitigates cardiovascular risks associated with low-normal sodium intake while offering consistent renal benefits.