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Table of Contents Why Early Kidney Protection Matters Evidence Supporting Early Use of SGLT2 Inhibitors GLP1 Receptor Agonists for Renal Benefit Clinical Triggers to Initiate Therapy Monitoring and Labs for Kidney Protection Patient Counseling and Shared DecisionMaking Conclusion Frequently Asked Questions Why Early Kidney Protection Matters Diabetic kidney disease affects nearly 40% of people with type 2 diabetes