Diabetes management issues for patients with chronic kidney disease

Chronic kidney disease is in continuous increase and can be found in up to 23% of patients with diabetes. Glycemic control is difficult to assess and medication therapy for diabetes may require dose adjustments part of the alteration of drug's pharmacokinetics and the insulin resistance which i...

Full description

Saved in:

Bibliographic Details
Published in:	Néphrologie & thérapeutique Vol. 8; no. 3; pp. 135 - 140
Main Authors:	Oulahiane, Asmaa, Anaddam, Sara, Ouleghzal, Hassan, Elhaddad, Nadia, Moussaoui, Souad, Yaagoubi, Noussaima, Boufares, Fatima, Belmejdoub, Ghizlaine
Format:	Journal Article
Language:	French
Published:	France 01-06-2012
Subjects:	Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - drug therapy Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - drug therapy Diabetic Nephropathies - complications Humans Renal Insufficiency, Chronic - complications
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Chronic kidney disease is in continuous increase and can be found in up to 23% of patients with diabetes. Glycemic control is difficult to assess and medication therapy for diabetes may require dose adjustments part of the alteration of drug's pharmacokinetics and the insulin resistance which is predicting cardiovascular events. The recommended hemoglobin A1c goal is also lower than 7.0% without hypoglycemia. In this article, we review the therapeutic management of diabetic patients in chronic renal failure stage which is difficult and the ways to control blood glucose. Multidisciplinary approach, which is including management of comorbid diseases, is necessary to provide the optimal care of these patients.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-Review-3 content type line 23
ISSN:	1872-9177
DOI:	10.1016/j.nephro.2011.07.410