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Nephroprotective effects of empagliflosin and vildagliptin

Abstract

This article presents the results of a prospective study of the cardioprotective potential of two groups of hypoglycemic drugs: sodium-glucose cotransporter 2 inhibitors (empagliflozin) and dipeptidyl peptidase 4 (vildaglpitin). 90 patients with type 2 diabetes were randomized using a random number generator into 3 groups, depending on the antihyperglycemic therapy prescribed for the next 6 months: the group that continued to receive gliclazide and metformin, the group in addition to gliclazide and metformin received vildagliptin at a dose of 100 mg/day, the group in addition to gliclazide and metformin received empaglilflozin at a dose of 25 mg/day. The addition of vildagliptin to gliclazide and metformin therapy improved glycemic control and was associated with an increase in renal filtration function calculated using cystatin C, with a simultaneous decrease in podocin excretion. The addition of empagliflozin led to an increase in the filtration function of the kidneys, calculated according to cystatin C, a decrease in the excretion of markers of tubular damage of IMT-1.

About the Authors

V. N. Vasilkova
УО «Гомельский государственный медицинский университет»
Russian Federation


I. Yu. Pchelin
Санкт-Петербургский государственный университет
Russian Federation


Ya. A. Borovets
УО «Гомельский государственный медицинский университет»
Russian Federation


Ya. L. Navmenova
ГУ «РНПЦ радиационной медицины и экологии человека»
Russian Federation


T. V. Mokhort
УО «Белорусский государственный медицинский университет»
Russian Federation


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Review

For citations:


Vasilkova V.N., Pchelin I.Yu., Borovets Ya.A., Navmenova Ya.L., Mokhort T.V. Nephroprotective effects of empagliflosin and vildagliptin. Medical and Biological Problems of Life Activity. 2022;(1):53-61. (In Russ.)

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ISSN 2074-2088 (Print)