6 voices in 10 minutes: Kidney failure

Authors

  • Fabián Davila Austral University Hospital, Province of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v54i3Sup.289

Keywords:

diabetes, chronic kidney disease, treatment

Abstract

6 voices in 10 minutes:  Update on chronic complications

Kidney failure

Diabetes mellitus (DM) is the leading cause of chronic kidney disease (CKD). About 20-40% of patients with DM develop kidney disease due to this metabolic disorder, which increases the cardiovascular risk and can progress to a stage that requires dialysis or kidney transplantation. CKD typically develops after diabetes duration of 10 years in T1D patients and it is present in around 3% of T2D patients at diagnosis. 

CKD is defined as the presence of elevated urinary albumin excretion (urinary albumin/creatinine ratio -ACR ≥30 mg/g-) and estimated glomerular filtration rate (eGFR) of <60 ml/min/1.73 m2, or both, during three months or more. This is known as chronic kidney disease.  At least once a year, assess ACR and eGFR in patients with T1D with duration of ≥5 years and in all patients with T2D regardless of treatment. Patients with ACR >30 mg/g and/or an eGFR <60 ml/min/1.73 m2 should be monitored twice annually to guide therapy.

Author Biography

Fabián Davila, Austral University Hospital, Province of Buenos Aires, Argentina

Doctor, Diabetes Service

References

-1- KDIGO. Clinical Practice Guideline on Diabetes Management in Chronic Kidney Disease (in press).

-2- American Diabetes Association. 11. Microvascular complications and foot care: Standards of Medical Care in Diabetes 2020. Diabetes Care 2020; 43(Suppl. 1):S135–S151.

-3- American Diabetes Association. 9. Pharmacologic approaches to glycemic treatment: Standards of Medical Care in Diabetes 2020. Diabetes Care 2020;43(Suppl. 1):S98–S110.

Published

2023-01-10

How to Cite

Davila, F. (2023). 6 voices in 10 minutes: Kidney failure. Journal of the Argentine Society of Diabetes, 54(3Sup), 22–22. https://doi.org/10.47196/diab.v54i3Sup.289

Issue

Section

6 voices in 10 minutes part 2

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