Euglycemic DKA on an SGLT2 inhibitor
A normal glucose that hides a ketoacidosis — rare but high-risk during fasting, acute illness, perioperative periods, dehydration, or low-carbohydrate intake.
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Proteinuria in obesity: ORG or FSGS?
Integrating biopsy pattern with albumin, nephrotic features, and the hyperfiltration phenotype to avoid misclassification.
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Estimating GFR when creatinine lies
Low or high muscle mass and the case for cystatin C and the CKD-EPI 2021 combined equation.
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Titrating a GLP-1 agonist in CKD
Dose, monitoring, and volume/electrolyte surveillance when starting an incretin in reduced eGFR.
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The protein dilemma on dialysis
Reconciling weight-loss goals with protein and muscle preservation under renal replacement therapy.
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Weight loss before transplant listing
Choosing between incretins and surgery as a bridge to listing, and planning peri-transplant management.