Drug Protects Kidneys, Heart in Diabetic Patients

This Jan. 3, 2009, file photo shows a person with diabetes testing his blood sugar level in Kamen, Germany. (AP)
This Jan. 3, 2009, file photo shows a person with diabetes testing his blood sugar level in Kamen, Germany. (AP)
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Drug Protects Kidneys, Heart in Diabetic Patients

This Jan. 3, 2009, file photo shows a person with diabetes testing his blood sugar level in Kamen, Germany. (AP)
This Jan. 3, 2009, file photo shows a person with diabetes testing his blood sugar level in Kamen, Germany. (AP)

A recent Canadian study has found that a drug prescribed to treat heart failure could protect kidney and heart health in individuals with type 2 diabetes and chronic kidney disease.

Results from the study were presented on November 4, at ASN Kidney Week 2023 organized by the American Society of Nephrology, in Philadelphia.

The study of a drug named “Sotagliflozin”, which has been approved by the FDA in May as a heart failure treatment, also involved non-diabetic patients.

Sotagliflozin is a Sodium-glucose cotransporter-2 (SGLT2) inhibitor, which lowers blood sugar by inhibiting glucose absorption in the kidneys, and can also be used to treat type 2 diabetes.

Researchers have found that these drugs provide kidney- and heart-related benefits to patients with and without diabetes.

During the study, the research team observed 10,584 patients with type 2 diabetes, chronic kidney disease and cardiovascular factors to receive sotagliflozin or placebo.

Over a median follow-up of 16 months, the researchers found sotagliflozin reduced the risk of glomerular filtration by 50 percent, and dialysis or kidney transplant by 38 percent.

They also found that compared to placebo, sotagliflozin reduced the risk of heart and kidney problems, as well as cardiovascular diseases-related deaths by 23 percent.

“These effects add to the already reported benefits of sotagliflozin in reducing both heart failure and ischemic events such as myocardial infarction or stroke,” said corresponding author David Cherney of the University of Toronto.

“Sotagliflozin is now FDA approved to reduce the risk of cardiovascular death and heart failure events with a broad label that includes patients with heart failure or chronic kidney disease, so the drug is now an option for nephrologists and cardiologists, as well as primary care physicians, to prescribe,” he told the York Alert website.



Passenger Forced to Run Along London Platform with Hand Trapped in Doors of Moving Train

A train on the Elizabeth line, which opened in May 2022. Photograph: Philip Toscano/PA
A train on the Elizabeth line, which opened in May 2022. Photograph: Philip Toscano/PA
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Passenger Forced to Run Along London Platform with Hand Trapped in Doors of Moving Train

A train on the Elizabeth line, which opened in May 2022. Photograph: Philip Toscano/PA
A train on the Elizabeth line, which opened in May 2022. Photograph: Philip Toscano/PA

An investigation has been launched after a rail passenger was forced to run several metres along the platform with his hand trapped inside the doors of a moving train in west London.

The passenger, who was trying to board an Elizabeth line service just after midnight, had his hand caught in the door as it began to depart, the Rail Accident Investigation Branch (RAIB) said on 24 December, The Guardian reported.

He was then forced to run alongside the moving train for several metres until a member of railway staff who was working on the platform at Ealing Broadway station pulled him away.

Nearby passengers alerted the driver and the train stopped after moving about 17 metres. The passenger is reported to have sustained minor injuries, the RAIB confirmed.

The “trap and drag” incident, which took place on 24 November at about 12.07am, is the latest case of a rail passenger having to run alongside trains with their hand or arm trapped in doors at stations. Previous incidents took place at Enfield Town, north London, in July; Seven Sisters, north London, in June 2022; Bushey, Hertfordshire, in March 2018; and Newcastle Central in 2013.

The RAIB investigation will consider factors such as if anything influenced the actions of those involved, and how risks associated with passengers boarding and alighting Elizabeth line trains are managed. It will publish its findings, including any recommendations to improve safety.

Elizabeth line services are operated by MTR Elizabeth line under a concession from Transport for London.

A TfL spokesperson said: “We’re sorry that our customer experienced this distressing incident. Safety is our top priority and our operator, MTR Elizabeth line, is currently carrying out a thorough investigation.

“We will always strive to learn from incidents and improve operational safety. MTR Elizabeth line is fully co-operating with the RAIB to establish the root cause of this incident to determine what steps they can take to avoid any further events of this nature and to share learnings with the industry.

“While serious injuries on our network are rare, we are undertaking a huge range of work aimed at eradicating such incidents and making travelling even safer for everyone.”