Transdisciplinary recommendations for the management of patients with diabetic kidney disease

Authors

  • Alicia Elbert Center for Kidney Diseases and Arterial Hypertension (CEREHA S.A.), City of Buenos Aires, Argentina
  • Florencia Aranguren Argentine Diabetes Society, City of Buenos Aires, Argentina
  • Guillermo De Marziani Center for Kidney Diseases and Arterial Hypertension (CEREHA S.A.), Province of Buenos Aires, Argentina
  • Luciana Paganti Central Military Hospital, Autonomous City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v58i2Sup.781

Keywords:

angiotensin-converting enzyme inhibitor, angiotensin II receptor blocker, nephropathy, dialysis, GLP-1 receptor agonist, glycemic goals, guide, HbA1c, hemodialysis, KDIGO, Lifestyle, renin-angiotensin system, SGLT2 inhibitor, finerenone

Abstract

The appropriate management of diabetic kidney disease has been shown to improve the evolution of this common pathology that affects approximately 40% of people with diabetes in the world and in Argentina. The appropriate that have been shown to improve the evolution of the disease are the early diagnosis, the adequate achievement of goals (weight, blood pressure, blood glucose, lipid), the diet, the physical activity and the indication of some pharmacological groups: such as renin angiotensin aldosterone system inhibitors, SGLT-2 cotransport inhibitors, mineralocorticoid receptor antagonists, and GLP-1 receptor agonists. Furthermore, certain strategies such as the control of calcium, phosphorus and anemia improve renal outcomes, as well as the correct management of nephrotoxic substances in this patient population. That is why we have included these topics in this update, which aims to evaluate which of these have scientific measures to recommend them.

Author Biographies

Alicia Elbert, Center for Kidney Diseases and Arterial Hypertension (CEREHA S.A.), City of Buenos Aires, Argentina

Medical specialist in Nephrology, specialized in Diabetes, Advisor on transdisciplinary recommendations for the management of patients with diabetic kidney disease

Florencia Aranguren, Argentine Diabetes Society, City of Buenos Aires, Argentina

Director of the Diploma in Cardiometabolic and Renal Risk, UCES, Director of the Update Course in Kidney Disease, Coordinator of the Nephropathy Committee

Guillermo De Marziani, Center for Kidney Diseases and Arterial Hypertension (CEREHA S.A.), Province of Buenos Aires, Argentina

Medical specialist in Internal Medicine, specialist in Nephrology and Master in Diabetes, Secretary of the Nephropathy Committee, Argentine Diabetes Society (SAD)

Luciana Paganti, Central Military Hospital, Autonomous City of Buenos Aires, Argentina

Nephrologist, Coordinator of the Metabolism Committee, Argentine Society of Nephrology, specialist in Medical Clinic and Diabetes, Head of the Nephrology Service

References

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Published

2024-05-02

How to Cite

Elbert, A., Aranguren, F., De Marziani, G., & Paganti, L. (2024). Transdisciplinary recommendations for the management of patients with diabetic kidney disease. Journal of the Argentine Society of Diabetes, 58(2Sup), 3–4. https://doi.org/10.47196/diab.v58i2Sup.781

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