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Glyburide vs Glipizide in diabetic patients with Kidney disease

 Diabetes management in patients with kidney disease: Discharged this patient after medication therapy management. Family was educated about diabetes management, few medications were discontinued and others were changed. Importance of monitoring blood sugar levels was emphasized.



Glyburide was discontinued; Glipizide started. Augmentin and Gabapentin were renally dosed. Lisinopril and hydrochlorothiazide were discontinued. Normal blood pressure was recorded for few days, family consulted to monitor blood pressure and check with the primary care physician. Patient's family was excited about the improvement in quality of life.



Reference:

Betônico CC, Titan SM, Correa-Giannella ML, Nery M, Queiroz M. Management of diabetes mellitus in individuals with chronic kidney disease: therapeutic perspectives and glycemic control. Clinics (Sao Paulo). 2016;71(1):47-53. doi:10.6061/clinics/2016(01)08

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