What is the etiology of high prandial glucose levels in Diabetic Nephropathy? How to manage?

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If eGFR is >60 then SGLT2i can be added but better to start insulin & stop SU/secretagogues.

Sir in DAPA HF study now it is well recommended Sglt2i event eGFR is in bet 30 to 45ml
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SGLT2 inhibitor is the best option or u can add GLP1 aganoist

Thank you doctor
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DKD Decrease eGFR leads to decrease glucose excretion by proximal tubules Hence ppg is increased In these cases Sglt2i are much helpful

Thank you doctor
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