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DIABETIC KIDNEY DISEASE

CREDENCE and DELIGHT deliver on renal benefits

Inhibitors of sodium–glucose cotransporter 2 (SGLT2) and dipeptidyl peptidase 4 (DPP4) are widely used in patients with type 2 diabetes to improve glycaemic control and reduce cardiovascular risks. Two recent clinical trials, CREDENCE and DELIGHT, demonstrate that these drugs can also slow down the progression of kidney disease in these patients.

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Fig. 1: Suggested use of glucose-lowering medications in patients with type 2 diabetes.

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Acknowledgements

The authors are supported by a grant from the University of Oxford to the institution for conducting the EMPA-KIDNEY trial in Germany (EMPA-KIDNEY is sponsored and funded by Boehringer Ingelheim).

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Correspondence to Christoph Wanner.

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Competing interests

C.W. is a Steering Committee member of EMPA-REG OUTCOME, EMPEROR Studies and EMPA-KIDNEY (all sponsored by Boehringer Ingelheim). C.W. received honoraria for consulting and lecturing from Abbott, Akibia, Amgen, AstraZeneca, Bristol-Myers Squibb, Boehringer Ingelheim, Fresenius Medical Care, GlaxoSmithKline, Sanofi Genzyme, Lilly, MSD, Novartis, Pfizer, Reata, Shire-Takeda, Tricida and Vifor. S.B. is a Steering Committee member of EMPA-KIDNEY (sponsored by Boehringer Ingelheim) and received honoraria from Novartis for consulting.

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Wanner, C., Brenner, S. CREDENCE and DELIGHT deliver on renal benefits. Nat Rev Nephrol 15, 459–460 (2019). https://doi.org/10.1038/s41581-019-0171-2

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