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metformin algorithm diagnosis kdigo management nephrology ada arb causes chronic differential dm2 dosing endocrinology hyperkalemia hypoglycemics impairment initiation k kidneydisease
Summary of dosing recommendations in renal impairment of commonly used hypoglycaemic agents #Diabetes #Diabetic #Medications #Pharmacology #Dosing
hypoglycaemic agents #Diabetes ... #Diabetic #Medications ... #Pharmacology # ... Renal #Impairment #CKD ... #Table #GFR #Hypoglycemics
Management of Diabetes Mellitus in Patients With CKD 1. Monitor for changes in BP, serum creatinine, &
Management of Diabetes ... , & an eGFR ≥ 30 ... or Type 2 diabetes ... #Diabetes #CKD # ... ADA #KDIGO #eGFR
Metformin in Diabetic Kidney Disease Immediate release: • Initial 500 mg or 850 mg once daily •
Metformin in Diabetic ... maximum dose eGFR ... recommended dose eGFR ... #Metformin #CKD ... #pharmacology #
Metformin Pharmacology Summary Mechanisms of Action: • Suppresses gluconeogenesis by the liver • Increases insulin-mediated glucose utilization
Metformin Pharmacology ... • Increases insulin-mediated ... not initiate if eGFR ... not continue if eGFR ... #Summary #DM2 #diabetes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Medications: K+, ACEi ... esp w oliguria / GFR ... Labs: BMP (Assess GFR ... status to improve GFR ... sufficient if intact GFR
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
kidney function (eGFR ... Proteinuria) • Diabetes ... ) • Multiple myeloma ... Hyperphosphatemia #CKD
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