Question of Week | Kidney Transplant – Best Intervention?

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?

  1. Refer to a kidney specialist for a thorough workup.
  2. Encourage referral for medical nutrition therapy
  3. Evaluate if JR can cut the prednisone dose in half.
  4. Instruct JR to start a very low-calorie diet to reverse hyperglycemia.

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During this live stream webinar, we will discuss diabetes medication benefits, considerations, and critical information to share with people with diabetes and providers.

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Glucose control in the hospital matters! This course provides participants with a step-by-step approach to safely and effectively implement Basal Bolus Insulin Therapy in the inpatient setting. We discuss appropriate insulin dosing based on the patient’s clinical presentation and apply dosing strategies to a variety of case studies. Included are hard-to-manage situations that commonly occur in hospital settings and a discussion of solutions that will keep patients safe and get glucose levels to goal. In addition, sample basal/bolus and insulin drip guidelines plus lots of resource articles are included. 

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