The Clinical Takeaway: T2D and the Kidney


In this episode:


– 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, GP and Medical Educator


Total time: 43 mins


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



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