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24th June 2023
A 58-year-old woman has chronic kidney disease secondary to type 2 diabetes.
A 58-year-old woman has chronic kidney disease secondary to type 2 diabetes. She has bloods done routinely in renal clinic, the results are below:
| Result | Normal reference range |
|---|---|
| Calcium (adjusted) – 2.10 mmol/L | 2.1-2.6 mmol/L |
| Phosphate – 1.95 mmol/L | 0.9-1.5 mmol/L |
| Parathyroid hormone – 24 pmol/L | 3.0-12.0 pmol/L |
| Creatinine – 199 μmol/L (stable) | 60-100 μmol/L |
Given the results above, which medication should the renal team consider starting first?
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