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. 2015 Jun 4;1:2.
doi: 10.1186/s40842-015-0001-9. eCollection 2015.

Management of Diabetes Mellitus in Patients With Chronic Kidney Disease

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Free PMC article

Management of Diabetes Mellitus in Patients With Chronic Kidney Disease

Allison J Hahr et al. Clin Diabetes Endocrinol. .
Free PMC article

Abstract

Glycemic control is essential to delay or prevent the onset of diabetic kidney disease. There are a number of glucose-lowering medications available but only a fraction of them can be used safely in chronic kidney disease and many of them need an adjustment in dosing. The ideal target hemoglobin A1c is approximately 7 % but this target is adjusted based on the needs of the patient. Diabetes control should be optimized for each individual patient, with measures to reduce diabetes-related complications and minimize adverse events. Overall care of diabetes necessitates attention to multiple aspects, including reducing the risk of cardiovascular disease, and often, multidisciplinary care is needed.

Keywords: Chronic kidney disease; Diabetes; Diabetic kidney disease; Glycemic control; Hemoglobin A1c; Nephropathy.

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