Theme |
Glycemic Control and Diabetes with Chronic Kidney Disease |
Title |
Selection and side eff ect of oral hypoglycemic agents in diabetic patients with nephropathy |
Author |
Ryotaro Bouchi |
Division of Nephrology and Hypertension, Diabetes Center, Tokyo Women's Medical University School of Medicine |
Author |
Michino Takagi |
Division of Nephrology and Hypertension, Diabetes Center, Tokyo Women's Medical University School of Medicine |
Author |
Naoshi Yoshida |
Division of Nephrology and Hypertension, Diabetes Center, Tokyo Women's Medical University School of Medicine |
Author |
Kiwako Toya |
Division of Nephrology and Hypertension, Diabetes Center, Tokyo Women's Medical University School of Medicine |
Author |
Tetsuya Babazono |
Division of Nephrology and Hypertension, Diabetes Center, Tokyo Women's Medical University School of Medicine |
[ Summary ] |
Although several classes of oral hypoglycemic agents have been available, special attention should be paid when used in diabetic patients with advanced kidney disease. In diabetic patients undergoing dialysis, several classes of oral hypoglycemic agents are contraindicated;therefore, only α-glucosidase inhibitors and glinides have been selected in Japan. Recently, dipeptidyl-peptidase 4 inhibitors have become available even in dialysis patients and preliminary studies demonstrated the efficacy and safety of this brand-new drug. |