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At normal blood glucose levels, up to 97% of glucose filtered by the glomeruli is reabsorbed by sodium-dependent glucose transporter-2 (SGLT2) in the initial segment of the tubule, and only 3% of the remaining glucose is reabsorbed by sodium-dependent glucose transporter-1 (SGLT1) in the later segment of the proximal tubule ( In summary, hyperglycemia induces renal tubules metabolic disturbances, hypoxia, oxidative stress, EMT, and programmed cell death which facilitate renal tubular injury and renal fibrogenesis

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Additionally, vitamin D could have a neuroprotective effect, influencing the symptoms and possibly the development and progression of the disease (Peterson 2014)