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CREDENCE Trial Canagliflozin — ESENeph MCQ

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HardDiabetic Kidney DiseaseCREDENCE Trial CanagliflozinESENeph

A patient starting an SGLT2 inhibitor asks about genital mycotic infection. Which counselling point follows UK Kidney Association guidance?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Counsel about symptoms, hygiene and treatment access

The best answer is “Counsel about symptoms, hygiene and treatment access”. UKKA recommends counselling about the recognised genital mycotic-infection risk, maintaining good genital hygiene and seeking treatment promptly if symptoms occur. Routine systemic antifungal prophylaxis and urine cultures are not recommended, fluid restriction is irrelevant, and a treatable episode does not automatically require permanent SGLT2-inhibitor withdrawal.

Reference: UK Kidney Association SGLT2-inhibitor guideline: https://guidelines.ukkidney.org/sodium-glucose-co-transporter-2/3-2-recommendations-for-use/