JR is a 38 yr old who received a kidney transplant 3 months ago and has a GFR >60 and creatinine of 0.9. JR takes prednisone 10mg daily as part of the post-transplant protocol. JR’s most recent A1c came back at 7.9% and the provider asks the Diabetes Specialist what intervention is recommended.
Which of the following is the best response?
- Refer to a kidney specialist for a thorough workup.
- Encourage referral for medical nutrition therapy
- Evaluate if JR can cut the prednisone dose in half.
- Instruct JR to start a very low-calorie diet to reverse hyperglycemia.
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