Protect the kidney early and the kidney protects you
CKD is a marker of poor prognosis and if present, we must work hard to prevent adverse outcomes… now is the time for SGLT2i, statins, ace inhibitors, and arbs
Be aware of plasma volume shifts which can happen with large fluctuations in glycaemic control which further damages renal function.
If the patient is dehydrated due to vomiting or diarrhoea be sure to reduce or stop metformin, SGLT2 inhibitors, ace inhibitors, arbs
If the patient is fluid overloaded, may initially present only with a cough and wheeze, worse at night or exertional dyspnoea
All patients with CKD ought to have an echocardiogram to exclude a stiff heart and impaired LV ejection fraction

 

Host: Dr David Lim | Total time: 43 mins

Guest: Prof Merlin Thomas, Physician and Research Scientist; Professor of Medicine, Monash University

 





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<ul>
<li>Protect the kidney early and the kidney protects you</li>
<li>CKD is a marker of poor prognosis and if present, we must work hard to prevent adverse outcomes&hellip; now is the time for SGLT2i, statins, ace inhibitors, and arbs</li>
<li>Be aware of plasma volume shifts which can happen with large fluctuations in glycaemic control which further damages renal function.</li>
<li>If the patient is dehydrated due to vomiting or diarrhoea be sure to reduce or stop metformin, SGLT2 inhibitors, ace inhibitors, arbs</li>
<li>If the patient is fluid overloaded, may initially present only with a cough and wheeze, worse at night or exertional dyspnoea</li>
<li>All patients with CKD ought to have an echocardiogram to exclude a stiff heart and impaired LV ejection fraction</li>
</ul>
&nbsp;
Host:&nbsp;Dr David Lim |&nbsp;Total time: 43 mins
Guest: Prof Merlin Thomas,&nbsp;Physician and Research Scientist; Professor of Medicine, Monash University
&nbsp;
 
Register for our fortnightly FREE WEBCASTS
Every second Tuesday | 7:00pm-9:00pm AEDT
<a href="https://www.healthed.com.au/webcast/">Click here to register for the next one</a>

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T2D and the Kidney

https://api.omny.fm/orgs/8365a4b5-1eb4-4780-971d-aad20051c830/clips/c51a169b-3e70-4033-b04e-ad6d002de095/transcript

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