Vol 9, No 2 (2008): Practical Diabetology
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Published online: 2008-05-13

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Diabetes management issues for patients with chronic kidney disease

Kerri L. Cavanaugh
Diabetologia Praktyczna 2008;9(2):94-102.


Chronic kidney disease (CKD) is common and can be found in up to 23% of patients with diabetes. The recommended hemoglobin A1c goal for these patients is also < 7.0%. Medication therapy for diabetes may require dose adjustments or may be contraindicated in patients with CKD. Assessment and management of comorbid diseases, including hypertension, hyperlipidemia, anemia, hyperphosphatemia, and hyperparathyroidism, is important in the care of patients with diabetes and CKD. Multidisciplinary care may provide the optimal system for maximizing care of these complex patients.

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