How Diabetes Pills Can Affect Your Kidneys

Metformin is generally safe for kidneys but requires dose adjustment in advanced kidney disease.

Sulfonylureas like glipizide can increase hypoglycemia risk in kidney impairment.

Pioglitazone may cause fluid retention, potentially worsening kidney function.

DPP-4 inhibitors like sitagliptin are generally safe but require dose adjustment in kidney disease.

SGLT2 inhibitors like empagliflozin can slow kidney disease progression and reduce cardiovascular risk.

GLP-1 receptor agonists like liraglutide may reduce albuminuria and slow kidney disease progression.

Insulin dosing often requires adjustment in kidney impairment due to decreased clearance.

Some diabetes medications like canagliflozin have shown kidney-protective effects in clinical trials.

ACE inhibitors and ARBs are often used with diabetes medications to protect kidney function.

Regular kidney function monitoring is crucial when taking diabetes medications, especially with existing kidney issues.