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March 14, 2026Respirology Case Reports0 citationsOpen Access

Sodium Glucose‐Like Co‐Transporter 2 Inhibitor ( SGLT2i ) Use in Adults With Cystic Fibrosis

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EJER JohnsonAMAngela MatsonRCRobyn Anderson Cobb

Key Points

  • To describe the use of SGLT2i in adults with Cystic Fibrosis and their effects.
  • Reported cases of three adults with Cystic Fibrosis receiving SGLT2i.
  • Indications for SGLT2i included glycaemic management and nephropathy.
  • Safety and tolerability were assessed during treatment.
  • All three cases tolerated SGLT2i without side effects.
  • SGLT2i was effective for managing glycaemia in a type 2 diabetes phenotype.
  • Participants had different indications for SGLT2i use related to their nephropathy.

Abstract

ABSTRACT Sodium‐glucose cotransporter 2 inhibitors (SGLT2i) also called flozins or gliflozins have been demonstrated to have multi‐system benefits across the endocrine, metabolic, renal and cardiovascular systems. As a result, indications for use of SGLT2i have grown, however, there is limited evidence describing their use in people with CF (pwCF). We describe safe, tolerable and effective use of SGLT2i in three adults with CF. Indications for SGLT2i in our three cases varied. Our first case required it for glycaemic management due to predominantly type 2 diabetes phenotype. The next case had heavy proteinuria due to CF diabetes‐related nephropathy. And the last case had non‐diabetes related nephropathy. All cases tolerated SGLT2i without any side effects. Our findings add to the limited literature on SGLT2i use in pwCF, which will become increasingly relevant given an ageing CF population in the post‐modulator era.

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Cite This Study

Johnson et al. (2026) studied this question.

synapsesocial.com/papers/69b4ad8d18185d8a39800eedhttps://doi.org/10.1002/rcr2.70533
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