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What are SGLT2 inhibitors and how do they affect kidney disease? 

Plant Based Kidney Health
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Sean Hashmi, MD, MS, FASN
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Michele Crosmer, RD CSR
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The information provided on this channel is for educational purposes only, and does not substitute for professional medical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment.

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15 окт 2024

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Комментарии : 46   
@ricka.6758
@ricka.6758 Год назад
Thanks for the advice regarding SGL2 Inhibitors. For a future broadcast can you discuss the drug called Spironolactone and when it should be prescribed and if it has any benefits for kidney patients? Much appreciated.
@ddutton4716
@ddutton4716 Год назад
Ricka, He very briefly discusses this drug at 14:16 in ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-ImwdaASK3cU.html . Dr. Hashmi, Please explain the advantages of the new selective nonsteroidal MRAs over the older class including less potassium retention, benefits to other organs and less side effects. Thanks for this video. The FDA recently approved the new selective NSMRA finerenone but it is expensive. Literature is sparse on its use in nonalbuminuria or nondiabetic individuals however and it is not labelled for these individuals.
@jorgeconj
@jorgeconj Год назад
I have been prescribed Farxiga by my nephrologist and even got a free botle with a cupon but Im not using it. Im not a diabetic or have proteinuria. Creatinin is about 1.5 the highest. Gfr not super high ( just don’t remember) is in the lower end. And Im heart transplant patient and I exercice 45 years old. I urinate a lot and always show signs of dehydration in my lab work. My concern is if I already show signs of dehydration doesn’t taking the med would make it worst. Ps. No prostate problem. Sometimes I can’t even have a good night sleep because of urinating so much. Thanks for the explanation. You have answered more questions in your channel without me having to look’em up that is amazing. ❤
@emmanuelaguilar1745
@emmanuelaguilar1745 2 месяца назад
You are doctoring yourself!
@robertrayder858
@robertrayder858 Год назад
Excellent presentation. I am on Sglt2 inhibitor and recently was increased to 25mg as my HgbA1C went into diabetic range, I have been on the medication 3 months. Should I be concerned that my GFR went lower from 51 to 49 on medication and when would the medication increase or stabilize the GFR?
@ashleysolomon691
@ashleysolomon691 7 месяцев назад
In my case the eGFR went down but climbed back up in about 3 odd momths
@JoseChavez-fe2zb
@JoseChavez-fe2zb Год назад
Great information as always . Please keep doing it
@zonrey2781
@zonrey2781 Год назад
I don’t have a nephrologist. My endocrinologist prescribed Jardiance for my DM 2 and Stage 3 CKD, 55 GFR and microalbumin/creatinine,urine 858 up from 279. Hoping going on plant based kidney health diet & Jardiance since September 2022 will help lower albumin in urine.
@akshatshah3294
@akshatshah3294 5 дней назад
Does your albumin in urine got lower ? And is your creatinine level improved ?
@Roberto-cg2gr
@Roberto-cg2gr 4 месяца назад
Any research with zero carb combined with SGLT2 INHIBITOR or fasting and SGLT2 INHIBITOR?
@maomama5980
@maomama5980 Год назад
Hi Dr Thank you again for another highly informative video. Is SGL2 inhibitors effective on none diabetics GN patient? Thank you again
@HeyYall398
@HeyYall398 Год назад
I would be grateful if you could also create a video on the topic of Finerenone and its impact on kidney health for DKD (non-steroidal Mineralocorticoid Receptor Antagonist (MRA)).
@Motts9668
@Motts9668 Год назад
Hi, this was helpful. Can you guys also discuss GLP1 meds as well and compare to SGLT2 for CKD? thank you!
@chazlon5061
@chazlon5061 Год назад
I heard apple peel powder is a natural sglt2 inhinitor...I wonder 🤔
@endysgarden
@endysgarden Год назад
Do you all know any studies linking kidney disease and properties of adaptogen mushrooms?
@westfield90
@westfield90 Год назад
Hoping this will help my dad who has CHF and constant fluid buildup in the legs and lungs. Hopefully if sodium is excreted then logically less interstitial fluid build up.
@philipcyhowski1846
@philipcyhowski1846 Год назад
I’m curious to know would you prescribe this for Someone with microscopic hematuria and proteinuria? Over an ACE/ARB? and If they are already being controlled with an ARB?
@ivory8844
@ivory8844 Год назад
I did try the medication it raised my sugar level over 150 , I did not like the medication. I will stick with lisinopril
@Health-And-Diabetes
@Health-And-Diabetes Год назад
Thanks Dr. I have been on jiyadiance for around 4 years.
@akshatshah3294
@akshatshah3294 5 дней назад
In those 4 years does your gfr remained the same ? Does jardiance lowered your urine albumin levels ?
@Health-And-Diabetes
@Health-And-Diabetes 5 дней назад
@@akshatshah3294 I did not compare and have a look that much, Sorry. My eGFR has been acceptable values. I take Jardiance for Diabetes, not for kidney. Kidney and Heart benefits came to be known more recently.
@jamiew7306
@jamiew7306 Год назад
Hi, did you say all cause mortality dropped by 40% or 14%? Thanks
@paulabrown5243
@paulabrown5243 Год назад
14%
@tanyaalexander9387
@tanyaalexander9387 Год назад
dr Hashmi is it ok to take with a arb that has a diuretic? My bp meds has a diuretic so will that cause a problem?
@deusvlad2.083
@deusvlad2.083 Год назад
Maybe using activated charcoal capsules before eating anything will be able to help by absorbing the toxins from the bad foods and helping reduce kidney use thus helping kidney recovery?
@fraseredk7433
@fraseredk7433 Год назад
Stage 3 ckd and high-ish bp. Do you prefer losartan or verapamil ?? Please advise. Thanks.
@emmanuelaguilar1745
@emmanuelaguilar1745 2 месяца назад
See your doctor!!!!!
@akshatshah3294
@akshatshah3294 5 дней назад
Now what medications are you taking and how does it affect your levels and BP ? How is your gfr and urine protein level now ?
@yeonheebuehler9140
@yeonheebuehler9140 Год назад
I take sglt 2 and linsinopril . Is this ok?
@akshatshah3294
@akshatshah3294 5 дней назад
Is there any improvement in your urinary albumin/creatinine levels or serum creatinine levels ?
@richt6353
@richt6353 Год назад
Thank You!
@kevinwellwrought2024
@kevinwellwrought2024 3 месяца назад
After 6 weeks treatment with Farxiga my blood test showed a rise in creatinine level and urine test revealed that sodium, potassium and cholride had all gone below the normal level. Farxiga did not have any positive effect on my proteinuria either.
@emmanuelaguilar1745
@emmanuelaguilar1745 2 месяца назад
Are you ignorant? You just have to drink more water!!!!!!!!
@kevinwellwrought2024
@kevinwellwrought2024 2 месяца назад
@@emmanuelaguilar1745 you seem to have no knowledge of medicine and most probably no schooling! You want to destroy ketones and glucose with water??😂😂😂😂😂
@akshatshah3294
@akshatshah3294 5 дней назад
​@@kevinwellwrought2024 are you continuing Farxiga ? Does it lowered your creatinine levels after taking 6 -8 weeks more ? And how is your urinary albumin levels ?
@kevinwellwrought2024
@kevinwellwrought2024 5 дней назад
@@akshatshah3294 Yes, I am. Both proteinuria and creatinine level are the same after 12 weeks of taking Farxiga and my kidney function has not improved.
@bobcocampo
@bobcocampo Год назад
Can SGLT2 INH Help reach autophagy faster?
@HeyYall398
@HeyYall398 Год назад
The assertion made in the preceding statement regarding a 14% reduction in all-cause mortality requires clarification, as it inaccurately conflates the concept with relative risk reduction (RRR). It is important to note that the reported figure of 14% pertains specifically to the RRR, rather than the reduction in all-cause mortality. In truth, the reduction in all-cause mortality associated with the intervention in question amounts to a modest 1.6%. Drawing upon evidence from the JARDIANCE trials, it is indeed accurate to state that JARDIANCE demonstrated a relative risk reduction of 14% (hazard ratio [HR] = 0.86, 95% confidence interval [CI]: 0.74-0.99, P = 0.04). However, it is essential to distinguish between RRR and absolute risk reduction (ARR) when considering the implications of these findings. In the context of the composite endpoint, the ARR observed was merely 1.6%. By emphasizing the distinction between RRR and ARR, it becomes evident that the reduction in all-cause mortality attributable to the intervention is considerably more modest than the initially stated 14%. The nuanced interpretation of the JARDIANCE trials underscores the need for accuracy and precision when discussing the effects of medical interventions, particularly with regard to outcomes as critical as all-cause mortality.
@emmanuelaguilar1745
@emmanuelaguilar1745 2 месяца назад
This is a nonsense answer. Research more.
@nicm3155
@nicm3155 Год назад
Is Metformin safe for patient ckd
@PlantBasedKidneyHealth
@PlantBasedKidneyHealth Год назад
We have an episode coming out on that soon! Stay tuned.
@nicm3155
@nicm3155 Год назад
@@PlantBasedKidneyHealth thx to miss Michelle and dr Hashmi, I appreciate your answer in the podcast about metformin
@carmenlombere2529
@carmenlombere2529 7 месяцев назад
What about GLP-1-R
@Roberto-cg2gr
@Roberto-cg2gr 4 месяца назад
Zero carb improve my HBA1C from 10.2 to 5.2 in 3 months with fasting
@00dfm00
@00dfm00 Год назад
Finerenone ?
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