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Any medication that you can use to achieve that goal prior to pregnancy is going to help because patients with a hemoglobin A1C [of] more than 7, there’s a 15% anomaly rate, and most seriously have to do with the heart.” “So if you look at [the] risks and benefits of a medication versus being in poor control when you get pregnant, you’re going to want to use those medications,” Dr

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De hecho, las guías KDIGO para el manejo de pacientes con diabetes y ERC posicionan a los arGLP-1 como segunda línea de tratamiento y los indican para pacientes con DM2 y ERC que no han alcanzado los objetivos glucémicos individualizados a pesar del uso de metformina e iSGLT2, o en los que no pueden utilizar estos medicamentos porque liraglutida, semaglutida y dulaglutida (no se habían publicado los resultados con epfeglenatida) han demostrado beneficios cardiovasculares, especialmente entre pacientes con enfermedad cardiovascular establecida, asociado a beneficios renales favorables con una reducción sustancial de la albuminuria y probable preservación del FGe112, así como otras guias en pacientes con DM2 y riesgo cardiovascular alto/muy alto, como son los pacientes con ERD19,113