Diabetes Management in the Kidney Patient

Rajesh Garg, Mark E. Williams

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations

Abstract

Hyperglycemia management in chronic kidney disease (CKD) patients presents difficult challenges, partly due to the complexity involved in treating these patients, and partly due to lack of data supporting benefits of tight glycemic control. While hyperglycemia is central to the pathogenesis and management of diabetes, hypoglycemia and glucose variability also contribute to outcomes. Multiple agents with different mechanisms of action are now available; some can lower glucose levels without the risk of hypoglycemia. This article reviews metabolic changes present in kidney impairment/failure, current views about glycemic goals, and treatment options for the diabetic patient with CKD.

Original languageEnglish (US)
Pages (from-to)135-156
Number of pages22
JournalMedical Clinics of North America
Volume97
Issue number1
DOIs
StatePublished - Jan 2013
Externally publishedYes

Keywords

  • Chronic kidney disease
  • Diabetes
  • Hyperglycemia

ASJC Scopus subject areas

  • Medicine(all)

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