CLINICAL TRIALS
Ozempic in Diabetics with CKD: Fewer Cardiac Deaths and Slower Progression
In diabetics with chronic kidney disease, semaglutide has shown reductions in cardiac deaths and delayed CKD progression. What to monitor.
Dr. James Wilson
November 3, 2025
6 min read
Ozempic in Diabetics with CKD: Fewer Cardiac Deaths and Slower Progression
Clinical data in type 2 diabetes with chronic kidney disease associate semaglutide (Ozempic) with fewer cardiac deaths and slower CKD progression.
Key Clinical Signals
- Cardiovascular: Lower cardiac death events vs control cohorts.
- Renal: Slower eGFR decline and fewer progression events in studied populations.
Clinical Application
- Optimize RAAS blockade and SGLT2 where indicated; GLP-1s are complementary.
- Track BP, A1C, eGFR, albuminuria, and body weight.
- Manage GI tolerability during dose escalation.
- Cardiovascular: Lower cardiac death events vs control cohorts.
- Renal: Slower eGFR decline and fewer progression events in studied populations.
Clinical Application
- Optimize RAAS blockade and SGLT2 where indicated; GLP-1s are complementary.
- Track BP, A1C, eGFR, albuminuria, and body weight.
- Manage GI tolerability during dose escalation.

About Dr. James Wilson
Regenerative medicine researcher and anti-aging specialist focusing on peptide-based therapies.
CardiometabolicNephrologyPeptide Research
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