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Freely Filtered 028: Finerenone for diabetic kidney disease

Freely Filtered, a NephJC Podcast

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Diabetic Nephropathy - Is There a Hemodynamic Effect?

All of these agents that are emerging as treatment for diabetic nephropathy all follow the same trend with an initial drop in GFR, followed by a much slower loss of GFR over time compared to the placebo group. I'm wondering if the hemodynamic effect could actually be occurring not systemically but more localized to the hemodynamic to the kidney. That's a possible... I fully agree with you and I think it needs to be looked at. We got to dig deep into hyperkalemia.

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