Original Investigation

Early Sodium-Glucose Cotransporter-2 Inhibitor Use After Acute Kidney Injury in Type 2 Diabetes

JAMA Network Open 10.1001/jamanetworkopen.2026.31231

August 27, 2026 at 11:00 AM EDT

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In adults with type 2 diabetes recovering from AKI-D, SGLT-2 inhibitor prescription within 30 days after discharge was associated with fewer adverse kidney events than prescription at 31 to 90 days, without significant differences in mortality, cardiovascular events, or recorded short-term safety outcomes. These findings support timely initiation of SGLT-2 inhibitors during the post-AKI recovery period and provide a rationale for prospective randomized clinical trials.

Corresponding Author: Vin-Cent Wu, PhD, Department of Internal Medicine, National Taiwan University Hospital, 7 Chung-Shan S Rd, B4, Clinical Research Bldg, Room 1555, Taipei 100, Taiwan (q91421028@ntu.edu.tw).

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