Evidence map›Paper›PMID 35633439›Full record

ReviewCurrent diabetes reports2022

SGLT2 Inhibition in Type 1 Diabetes with Diabetic Kidney Disease: Potential Cardiorenal Benefits Can Outweigh Preventable Risk of Diabetic Ketoacidosis.

Hongyan Liu, Vikas S Sridhar, Bruce A Perkins, Julio Rosenstock, David Z I Cherney

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current diabetes reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Efficacy and Safety of Sotagliflozin in Patients with Type 1 Diabetes and CKD.Journal of the American Society of Nephrology : JASN · 2025
    Article
  3. Review
  4. Review
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Hongyan LiuDepartment of Medicine, Division of Nephrology, University Health Network, Toronto, ON, Canada.ORCID 0000-0003-3196-5756
Vikas S SridharDepartment of Medicine, Division of Nephrology, University Health Network, Toronto, ON, Canada.
Bruce A PerkinsLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.
Julio RosenstockDallas Diabetes Research Center at Medical City, Dallas, TX, USA.
David Z I CherneyDepartment of Medicine, Division of Nephrology, University Health Network, Toronto, ON, Canada. david.cherney@uhn.ca.
University Health Network · CADallas Diabetes Research Center · USUniversity of Toronto · CA

Funding

CIHR
6 · The paper itself

Abstract

purpose of reviewThe aim of this review is to summarize existing research investigating the use of sodium glucose cotransporter-2 (SGLT2) inhibitors in patients with type 1 diabetes mellitus (T1DM) while highlighting potential strategies to mitigate the risk of diabetic ketoacidosis (DKA). RECENT

findingsSGLT2 inhibitors have been studied in patients with T1DM in phase 3 clinical trials such as the inTandem, DEPICT, and EASE trials, which demonstrated consistent reductions in HbA1c. Secondary analyses of these trials have also reported potential kidney protective effects that are independent of improved glycemic control. However, trials in patients with type 2 diabetes mellitus (T2DM) have found an increased risk of DKA with SGLT2 inhibitors, a serious concern in patients with T1DM. SGLT2 inhibitors provide cardiovascular benefits and kidney protection in patients with T2DM and are a promising therapeutic option for patients with T1DM due to overlapping pathophysiological mechanisms. However, SGLT2 inhibitors increase the risk of DKA, and there is currently a lack of research investigating the beneficial effects of SGLT2 inhibitors in patients with T1DM. Preventative measure for DKA would have to be implemented and the risks would need to be carefully balanced with the benefits offered by SGLT2 inhibitors. Additional research will also be required to determine the kidney protective effects of SGLT2 inhibitors in patients with T1DM and diabetic kidney disease and to quantify the risk of DKA after the implementation of preventative measures, proper patient education, and ketone monitoring.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic KetoacidosisDiabetic NephropathiesSodium-Glucose Transporter 2 InhibitorsHumansHypoglycemic AgentsSodium-Glucose Transporter 2Hypoglycemic AgentsSodium-Glucose Transporter 2Sodium-Glucose Transporter 2 InhibitorsCardiorenal protectionChronic kidney diseaseDiabetic ketoacidosisDiabetic kidney diseaseSGLT2 inhibitorType 1 diabetes

Identifiers

PMID35633439
OpenAlexW4281733354

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.