Table 1.

Antidiabetic medications and their use in ESRD

Recommended (dose range)Not recommended
SulfonylureasSulfonylureas
 Glipizide IR or Glipizide XR (5–10 mg/d) Glyburide
 Gliclizide
Glimepiride (1–4 mg/d)
MeglitinidesBiguinides
 Nateglinide (60–120 mg with meals) Metformin
 Repaglinide (0.5–1 mg with meals)
Thiazolidinedionesα-Glucosidase inhibitors
 Pioglitazone (15–30 mg/d) Acarbose
 Miglitol
 Voglibose
DPP-4 inhibitorsGLP-1 agonists
 Alogliptin (6.25 mg/d) Exenatide
 Linagliptin (5 mg/d) Exenatide XR
 Saxagliptin (2.5 mg/d) Liraglutide
 Sitagliptin (25 mg/d) Albiglutide
 Vildagliptin (50 mg/d) Dilaglutide
InsulinSGLT-2 inhibitors
 Short acting (Human regular) Canagliflozin
 Rapid-acting analogs (Aspart, Glulisine, Lispro) Dapagliflozin
 Empagliflozin
 Intermediate- and long-acting (NPH, Glargine, Detemir)
 Premixed
Other hypoglycemic agents
 Bile acid resin (Colesevalam)
 Amylin analog (Pramlitinide)
 Dopamine agonist (Bromociptine)
(quick release)
Recommended (dose range)Not recommended
SulfonylureasSulfonylureas
 Glipizide IR or Glipizide XR (5–10 mg/d) Glyburide
 Gliclizide
Glimepiride (1–4 mg/d)
MeglitinidesBiguinides
 Nateglinide (60–120 mg with meals) Metformin
 Repaglinide (0.5–1 mg with meals)
Thiazolidinedionesα-Glucosidase inhibitors
 Pioglitazone (15–30 mg/d) Acarbose
 Miglitol
 Voglibose
DPP-4 inhibitorsGLP-1 agonists
 Alogliptin (6.25 mg/d) Exenatide
 Linagliptin (5 mg/d) Exenatide XR
 Saxagliptin (2.5 mg/d) Liraglutide
 Sitagliptin (25 mg/d) Albiglutide
 Vildagliptin (50 mg/d) Dilaglutide
InsulinSGLT-2 inhibitors
 Short acting (Human regular) Canagliflozin
 Rapid-acting analogs (Aspart, Glulisine, Lispro) Dapagliflozin
 Empagliflozin
 Intermediate- and long-acting (NPH, Glargine, Detemir)
 Premixed
Other hypoglycemic agents
 Bile acid resin (Colesevalam)
 Amylin analog (Pramlitinide)
 Dopamine agonist (Bromociptine)
(quick release)

DPP-4, dipeptidyl peptidase 4; GLP-1, glucagon-like peptide-1; SGLT-2, sodium-glucose cotransporter 2.

Table 1.

Antidiabetic medications and their use in ESRD

Recommended (dose range)Not recommended
SulfonylureasSulfonylureas
 Glipizide IR or Glipizide XR (5–10 mg/d) Glyburide
 Gliclizide
Glimepiride (1–4 mg/d)
MeglitinidesBiguinides
 Nateglinide (60–120 mg with meals) Metformin
 Repaglinide (0.5–1 mg with meals)
Thiazolidinedionesα-Glucosidase inhibitors
 Pioglitazone (15–30 mg/d) Acarbose
 Miglitol
 Voglibose
DPP-4 inhibitorsGLP-1 agonists
 Alogliptin (6.25 mg/d) Exenatide
 Linagliptin (5 mg/d) Exenatide XR
 Saxagliptin (2.5 mg/d) Liraglutide
 Sitagliptin (25 mg/d) Albiglutide
 Vildagliptin (50 mg/d) Dilaglutide
InsulinSGLT-2 inhibitors
 Short acting (Human regular) Canagliflozin
 Rapid-acting analogs (Aspart, Glulisine, Lispro) Dapagliflozin
 Empagliflozin
 Intermediate- and long-acting (NPH, Glargine, Detemir)
 Premixed
Other hypoglycemic agents
 Bile acid resin (Colesevalam)
 Amylin analog (Pramlitinide)
 Dopamine agonist (Bromociptine)
(quick release)
Recommended (dose range)Not recommended
SulfonylureasSulfonylureas
 Glipizide IR or Glipizide XR (5–10 mg/d) Glyburide
 Gliclizide
Glimepiride (1–4 mg/d)
MeglitinidesBiguinides
 Nateglinide (60–120 mg with meals) Metformin
 Repaglinide (0.5–1 mg with meals)
Thiazolidinedionesα-Glucosidase inhibitors
 Pioglitazone (15–30 mg/d) Acarbose
 Miglitol
 Voglibose
DPP-4 inhibitorsGLP-1 agonists
 Alogliptin (6.25 mg/d) Exenatide
 Linagliptin (5 mg/d) Exenatide XR
 Saxagliptin (2.5 mg/d) Liraglutide
 Sitagliptin (25 mg/d) Albiglutide
 Vildagliptin (50 mg/d) Dilaglutide
InsulinSGLT-2 inhibitors
 Short acting (Human regular) Canagliflozin
 Rapid-acting analogs (Aspart, Glulisine, Lispro) Dapagliflozin
 Empagliflozin
 Intermediate- and long-acting (NPH, Glargine, Detemir)
 Premixed
Other hypoglycemic agents
 Bile acid resin (Colesevalam)
 Amylin analog (Pramlitinide)
 Dopamine agonist (Bromociptine)
(quick release)

DPP-4, dipeptidyl peptidase 4; GLP-1, glucagon-like peptide-1; SGLT-2, sodium-glucose cotransporter 2.

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