I Almost always reduce what they are on. Between the natriuresis, nausea and the reduced oral salt intake,the requirement for diuretics goes down significantly. Even in heart failure patients ,dose comes down.Haven’t had much pre renal issues since I started being proactive in dose/med reduction.

Metaanalyses Overgeneralize SGLT2 Inhibitor Effectiveness in Population with Low Albuminuria, No Diabetes, No Heart Failure, and No Atherovascular Heart Disease Mariana Murea, Carlo Basile, Giorgina B Piccoli; Metaanalyses Overgeneralize SGLT2 Inhibitor Effectiveness in Population with Low Albuminuria, No Diabetes,

Not completely inaccurate if no diabetes and no cardiac indication. Highlighted in this letter below looking at the SMART- meta analysis

academic.oup.com/ndt/advance-...

Please add me. Thanks