algorithm diabetes mellitus and chronic kidney disease - Figure 32 Forest plots showing outcomes angka penderita diabetes di indonesia 2018 for people with diabetes and chronic kidney disease CKD undergoing selfmanagement SM education programs S94 Figure 33 Integrated care approach to improve outcomes selfmanagement and patientprovider communication in patients with diabetes and chronic kidney disease CKD S95 Figure 34 PDF CHRONIC KIDNEY DISEASE AND TYPE 2 DIABETES American Diabetes Association Chronic kidney disease CKD is common in people with both type 1 and type 2 diabetes It is defined by the presence for at least three months of reduced glomerular filtration rate GFR andor increased urinary albumin excretion table 1 See Definition and staging of chronic kidney disease in adults section on Definition of CKD The Kidney Disease Improving Global Outcomes KDIGO 2020 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease CKD represents the first KDIGO guideline on this subject The scope includes topics such as comprehensive care glycemic monitoring and targets lifestyle and antihyperglycemic interventions and approaches Chronic Kidney Disease Management in the Patient With Diabetes Mellitus Table 1 Drug Therapy Noninsulin antidiabetic agents and other medications for CKD management in patients with diabetes mellitus ACR albumincreatinine ratio ARB angiotensin receptor blocker ASCVD atherosclerotic cardiovascular disease CKD chronic kidney disease CrCl creatinine clearance CV cardiovascular DKA diabetic ketoacidosis eGFR estimated glomerular filtration KDIGO 2022 Clinical Practice Guideline for Diabetes Management in A rapidly expanding number of clinical trials are advancing clinical care in the field of diabetes and chronic kidney disease CKD The American Diabetes Association ADA and Kidney Disease Improving Global Outcomes KDIGO each follow structured processes to assess these data and develop rigorous evidencebased guidelines for adults with diabetes and CKD 1 2 Areas of consensus between KDIGO 2020 Clinical Practice Guideline for Diabetes Management in Diabetes Management in Chronic Kidney Disease A Consensus Report by A rapidly association of sleep apnea and type ii diabetes expanding number of clinical trials are advancing clinical care in the field of diabetes and chronic kidney disease CKD The American Diabetes Association ADA and Kidney Disease Improving Global Outcomes KDIGO each follow structured processes to assess these data and develop rigorous evidencebased guidelines for adults with diabetes and CKD 12 111a At least annually urinary albumin eg spot urinary albumintocreatinine ratio UACR and estimated glomerular filtration rate eGFR should be assessed in people with type 1 diabetes with duration of 5 years and in all people with type 2 diabetes regardless of treatmentB 111b In people with established chronic kidney disease CKD urinary albumin eg spot UACR and eGFR 115a For people with type 2 diabetes and diabetic kidney disease use of a sodiumglucose cotransporter 2 inhibitor is recommended to reduce chronic kidney disease progression and cardiovascular events in patients with an estimated glomerular filtration rate 20 mLmin173 m 2 and urinary albumin 200 mgg creatinine Treatment of diabetic kidney disease UpToDate se CVD and chronic kidney disease CKD A 2018 study of 500000 adults living with type 2 diabetes in the United States demonstrated that 10 had isolated type 2 diabetes with no associat d cardiovascular or kidney disorder 141 CVD and CKD in the presence of type 2 diabetes worsen each other leading to an Diabetes in CKD KDIGO Diabetes in CKD The KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease CKD and Executive Summary are now published online in Supplement to Kidney International and Kidney International respectively and available on the KDIGO website The Guideline was cochaired by Ian de Boer MD MS United States 11 Chronic Kidney Disease and Risk Management Diabetes management in chronic kidney disease a consensus report by 11 Chronic Kidney tanda penyakit diabetes Disease and Risk Management
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