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?
Answer from: at Community Practice
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 ...
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 ...