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Suggest Medication When Diagnosed With Diabetes And Kidney Issues
Question: I have diabetes type two and with kidney problems which medicine you recommend?
Brief Answer:
Diabetes
Detailed Answer:
I follow your question.
There are some diabetes medications that should be avoided when the kidney function is below a certain threshold.
However, it is not the objective of this forum to give precise medication recommendations. But I will give you broad guidance on how I approach my patients with diabetes and kidney problems, regarding medicines.
1 Metformin should not be used when there is a significant decline in kidney function.
2 A class of medications called Alpha glucosidase inhibitors should be avoided in this situation too.
3 Some medications' doses need to be reduced when the kidney function falls.
This includes some DPP 4 inhibitors, wight he exception of the one you are on i.e. Tradjenta
You have mentioned 50 mg but that is likely a typo as the correct dose is 5 mg
4 A new class of medications called SGLT2 inhibitors are also not to be used in kidney problems
5 A family of medications called Sulfonylureas must be avoided or used with caution when kidney function starts declining.
6 Medicines in the category of 'Thiazolidenediones' are okay to take though
7 Insulin is safe regardless of kidney function. However, lower doses than usual need to be carefully utilised.
Diabetes
Detailed Answer:
I follow your question.
There are some diabetes medications that should be avoided when the kidney function is below a certain threshold.
However, it is not the objective of this forum to give precise medication recommendations. But I will give you broad guidance on how I approach my patients with diabetes and kidney problems, regarding medicines.
1 Metformin should not be used when there is a significant decline in kidney function.
2 A class of medications called Alpha glucosidase inhibitors should be avoided in this situation too.
3 Some medications' doses need to be reduced when the kidney function falls.
This includes some DPP 4 inhibitors, wight he exception of the one you are on i.e. Tradjenta
You have mentioned 50 mg but that is likely a typo as the correct dose is 5 mg
4 A new class of medications called SGLT2 inhibitors are also not to be used in kidney problems
5 A family of medications called Sulfonylureas must be avoided or used with caution when kidney function starts declining.
6 Medicines in the category of 'Thiazolidenediones' are okay to take though
7 Insulin is safe regardless of kidney function. However, lower doses than usual need to be carefully utilised.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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