Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Jun 4:1:2.
doi: 10.1186/s40842-015-0001-9. eCollection 2015.

Management of diabetes mellitus in patients with chronic kidney disease

Allison J Hahr  1 , Mark E Molitch  1
Affiliations

Management of diabetes mellitus in patients with chronic kidney disease

Allison J Hahr et al. Clin Diabetes Endocrinol. .

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.

PubMed Disclaimer

References

    1. ADA Microvascular complications and foot care. Sec. 9. In standards of medical care in diabetes - 2015. Diabetes Care. 2015;38:S58–66. - PubMed
    1. KDOQI (Kidney Disease Outcomes Quality Initiative). Clinical practice guidelines and clinical practice recommendations for diabetes and chronic kidney disease. Am J Kidney Dis. 2007;49:S12–154. - PubMed
    1. ADA Glycemic targets. Sec. 6. In standards of medical care in diabetes - 2015. Diabetes Care. 2015;38:S33–40. - PubMed
    1. Garber AJ, Abrahamson MJ, Barzilay JI, Blonde L, Bloomgarden ZT, Bush MA, et al. AACE comprehensive diabetes management algorithm 2013. Endocr Pract. 2013;19:327–36. - PubMed
    1. KDOQI (Kidney Disease Outcomes Quality Initiative). Clinical Practice Guideline for Diabetes and CKD: 2012 Update. Am J Kidney Dis. 2012, 60:850–886. - PubMed