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Nephrology and Kidney Care for Diabetics: Diabetes causes tremendous stress and damage to the kidneys. Diabetes patients are frequently renally impaired and at high risk for kidney failure if not on dialysis. This further complicates the management of their diabetes and increases mortality risk. However, new treatments, drugs, and clinical insights are aiding medical professionals in their fight against kidney disease and its relationship to diabetes.

Finerenone Improves Albuminuria in Diabetic Nephropathy Patients

Mineralocorticoid receptor antagonists (MRAs) are often used with a renin-angiotensin system (RAS) blocker to further reduce proteinuria in patients with CKD. However, eplerenone and spironolactone increase the risk of hyperkalemia in these patients. Finerenone (BAY94-8862) is a new nonsteroidal MRA that has better receptor selectivity than spironolactone, associating with lower …

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Practical Diabetes Care, 3rd Ed., Excerpt #24: Diabetic Neuropathy Part 4 of 5


David Levy, MD, FRCP      Mononeuropathies and other focal syndromes Peripheral mononeuropathies Upper limb Carpal tunnel syndrome (median nerve) Carpal tunnel syndrome is very common (remember the association with primary hypothyroidism, especially in type 1 diabetes) and may present with atypical symptoms, as it is often superimposed on diabetic polyneuropathy. Consider it …

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