Symposium 5: Anemia, diabetes, and kidney disease
DOI:
https://doi.org/10.47196/diab.v54i3Sup.295Keywords:
cardiorenal syndrome, diabetesAbstract
Symposium 5: Renal involvement in diabetes: beyond the kidney
Anemia, diabetes, and kidney disease
Currently, cardiorenal syndrome (CRS) has been prioritized: it describes the dysfunction involving both the heart and kidneys that can appear bidirectionally or concomitantly in diabetic patients, accelerating or perpetuating such complications. I would like to highlight the importance of anemia and/or iron deficiency as part of this syndrome. In diabetic patients, their incidence increases as albuminuria develops, and kidney disease progresses to kidney failure from stages 1 to 5. It can be observed that the prevalence of anemia and iron deficiency is two to three times higher than that of non-diabetic patients with similar kidney function. Furthermore, these variations can also be observed in cardiac failure, either in isolation or as part of CRS. However, it is more common to see iron deficiency. We should prioritize their diagnosis and treatment as, in both clinical situations, the presence of anemia and/or iron deficiency favors morbimortality, whether the patient has other complications or not.
References
- KDIGO Clinical Practice Guideline for Anemia in Chronic Kidney Disease Kidney International Supplements 2012; 2:279-355.
- KDOQI Clinical Practice Guideline and Clinical Practice Recommendations for Anemia in Chronic Kidney Disease; 2007 Update of Hemoglobin Target. Am. J. Kidney Dis 2007; 50: 471-530.
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