Vol 9, No 2 (2008): Practical Diabetology
Other materials agreed with the Editors
Published online: 2008-05-13
Diabetes management issues for patients with chronic kidney disease
Diabetologia Praktyczna 2008;9(2):94-102.
Abstract
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.