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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