Diabetes management issues for patients with chronic kidney disease |
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| Authors: | Oulahiane Asmaa Anaddam Sara Ouleghzal Hassan Elhaddad Nadia Moussaoui Souad Yaagoubi Noussaima Boufares Fatima Belmejdoub Ghizlaine |
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| Affiliation: | 1. Université de Montpellier, faculté de médecine, Montpellier, France;2. Assistance Publique–Hôpitaux de Paris (AP–HP), hôpital Saint-Antoine, faculté de Médecine Pierre-et-Marie-Curie, service d’endocrinologie-diabétologie, Paris, France;3. Université Grenoble Alpes, faculté de médecine de Grenoble, Grenoble, France;1. Hôpital d’instruction des armées Bégin, service de médecine interne, 69, avenue de Paris, 94163 Saint-Mandé, France;2. Hôpital d’instruction des armées Bégin, service de rhumatologie, Saint-Mandé, France;3. Hôpital Foch, service de médecine interne, Suresnes, France;1. INSERM U1088 « Mécanismes physiopathologiques et conséquences des calcifications vasculaires » Université de Picardie Jules-Verne – UFR de pharmacie 1, rue des Louvels 80037 Amiens cedex;2. Laboratoire de biochimie Centre hospitalier et universitaire d’Amiens Place Victor-Pauchet 80054 Amiens cedex 1;3. Service de néphrologie Hôpital Ambroise-Paré (AP-HP) – Hôpitaux universitaires Paris-Ouest Université Versailles-Saint-Quentin (UVSQ) |
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| Abstract: | ![]()
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. |
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