Chronic kidney disease (CKD) and type 2 diabetes mellitus (T2DM) are highly prevalent chronic diseases, which represent an important public health problem and require a multidisciplinary management. T2DM is the main cause of CKD and it also causes a significant comorbidity with regard to non-diabetic nephropathy. Patients with diabetes and kidney disease represent a special risk group as they have higher morbi-mortality as well as higher risk of hypoglycemia than diabetic individuals with a normal kidney function. Treatment of T2DM in patients with CKD is controversial because of the scarcity of available evidence. The current consensus report aims to ease the appropriate selection and dosage of antidiabetic treatments as well as the establishment of safety objectives of glycemic control in patients with CKD. (C) 2013 Elsevier Espana, S.L. All rights reserved.
机构:
Georgetown Univ Hosp, Dept Med, Washington, DC 20422 USAGeorgetown Univ Hosp, Dept Med, Washington, DC 20422 USA
Lessey, Gayatri
Stavropoulos, Konstantinos
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Georgetown Univ Hosp, Dept Med, Washington, DC 20422 USA
VA Med Ctr, Dept Med, Washington, DC USAGeorgetown Univ Hosp, Dept Med, Washington, DC 20422 USA
Stavropoulos, Konstantinos
Papademetriou, Vasilios
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Georgetown Univ Hosp, Dept Med, Washington, DC 20422 USA
VA Med Ctr, Dept Med, Washington, DC USAGeorgetown Univ Hosp, Dept Med, Washington, DC 20422 USA