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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Clin+Diabetes+Endocrinol 2015 ; 1 (ä): ä Nephropedia Template TP
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Management of diabetes mellitus in patients with chronic kidney disease #MMPMID28702221
Hahr AJ; Molitch ME
Clin Diabetes Endocrinol 2015[]; 1 (ä): ä PMID28702221show ga
Glycemic control is essential to delay or prevent the onset of diabetic kidney disease. There are a number of glucose-lowering medications available but only a fraction of them can be used safely in chronic kidney disease and many of them need an adjustment in dosing. The ideal target hemoglobin A1c is approximately 7 % but this target is adjusted based on the needs of the patient. Diabetes control should be optimized for each individual patient, with measures to reduce diabetes-related complications and minimize adverse events. Overall care of diabetes necessitates attention to multiple aspects, including reducing the risk of cardiovascular disease, and often, multidisciplinary care is needed.