Do you taper steroids more aggressively to decrease the risk of developing new-onset diabetes after transplantation in kidney transplant recipients who had pretransplant impaired fasting glucose?
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Do you taper steroids more aggressively to decrease the risk of developing new-onset diabetes after transplantation in kidney transplant recipients who had pretransplant impaired fasting glucose?
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2 Answers
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Endocrinology · Brigham And Womens Hospital Endocrinology
Answered on
Steroids are given after any transplant (kidney, heart, lung, bone marrow, etc.,) to reduce risk of rejection of the transplanted organ. Preservation of organ function is the number one concern for the transplant team. Steroid free regimens for anti-rejection are always a goal but the transition to ...
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Mednet Member
Nephrology · Oregon Health and Science University Hospital
Answered on
The Woodle et al., PMID 18936569 randomized controlled trial of early CS withdrawal vs CS maintenance demonstrated no difference in the incidence of pots-transplant diabetes between the two groups. Further data suggest that tacrolimus is a bigger driver of PTDM as compared to steroids especially in ...
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