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The Curbsiders Internal Medicine Podcast
#454 Kidney Boy on Managing Diabetes and Hypertension in CKD
Sep 23, 2024
Dr. Joef Topf, Chief of Nephrology at Kashlak, shares his expertise on managing diabetes and hypertension in chronic kidney disease. He discusses the challenges of blood pressure management and the importance of early intervention. The episode also highlights advancements in CKD guidelines, including the role of cystatin C and new diabetes medications like GLP-1 receptor agonists. Dr. Topf emphasizes the necessity of collaboration between healthcare providers to navigate complex treatment decisions, ensuring optimal patient outcomes.
01:05:55
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Quick takeaways
- Effective management of hypertension in chronic kidney disease involves adjusting antihypertensive medications and focusing on tailored treatment strategies.
- The use of SGLT2 inhibitors is crucial in improving outcomes for diabetes patients with CKD, particularly in advanced disease stages.
Deep dives
Introduction to Chronic Kidney Disease Management
Blood pressure management plays a critical role in patients with chronic kidney disease (CKD), especially when they transition to dialysis. The podcast discusses a patient case that highlights the complexities of managing a 58-year-old male with CKD, hypertension, and type 2 diabetes experiencing uncontrolled blood pressure. The importance of considering both GFR and albuminuria in classifying CKD is emphasized, with an effective strategy to use algorithms to predict renal prognosis based on these factors. Clinicians are encouraged to communicate risk percentages to patients to foster understanding and engagement in their health management.
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Discover
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