Symposium 13: Sarcopenia in patients with diabetes, chronic kidney disease and cardiac insufficiency
DOI:
https://doi.org/10.47196/diab.v54i3Sup.324Keywords:
diabetes, chronic kidney disease, heart failureAbstract
Symposium 13: Sarcopenia and diabetes
Sarcopenia in patients with diabetes, chronic kidney disease and cardiac insufficiency
KDOQI guidelines (2007) defined renal complication in patients with diabetes caused by hyperglycemia as DKD (diabetic kidney disease). The underdiagnosis of both pathologies leads to the loss of prevention opportunities and adequate medical attention. Professional associations use the recommendation made by ADA for the detention of DKD that consists in evaluating GF (≤ 60mL/min shows kidney damage) or the structural damage (albuminuria ≥30 mg/g creatinine). The risk of Kidney Disease (KD) appearing is multiplied by 25 in patients with diabetes, as it is the main cause of both CKD and the entrance to renal replacement therapy.
Intensive glycemic control has been shown to decrease mortality and the incidence of cardiovascular diseases, to delay the beginning and progression of albuminuria, and to reduce GFR in patients with type 1 and type 2 diabetes.
References
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-2- Gracia-Iguacel C, González-Parra E, Barril Cuadrado G, et al. Definiendo el síndrome de desgaste proteico energético en la enfermedad renal crónica: prevalencia e implicaciones clínicas. Nefrología 2014; 34 (4): 425-544.
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-4- EGSOP. Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing 2019; 48: 16-31.
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