• Monitor kidney function twice yearly if urinary albumin is 300 or greater and/or if GFR is 30-60.
• For people with GFR less than 60, relax glucose target to prevent hypoglycemia.
• If GFR is less than 30 in an individual with diabetes, avoid use of SGLT-2 Inhibitors.
• For individuals with GFR less than 60, refer to RD to encourage low protein diet.

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