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- W2014743406 endingPage "S38" @default.
- W2014743406 startingPage "S22" @default.
- W2014743406 abstract "The management of hyperglycemia in patients with kidney failure is complex, and the goals and methods regarding glycemic control in chronic kidney disease (CKD) are not clearly defined. Although aggressive glycemic control seems to be advantageous in early diabetic nephropathy, outcome data supporting tight glycemic control in patients with advanced CKD (including end-stage renal disease [ESRD]) are lacking. Challenges in the management of such patients include therapeutic inertia, monitoring difficulties, and the complexity of available treatments. In this article, we review the alterations in glucose homeostasis that occur in kidney failure, current views on the value of glycemic control and issues with its determination, and more recent approaches to monitor or measure glycemic control. Hypoglycemia and treatment options for patients with diabetes and ESRD or earlier stages of CKD also are addressed, discussing the insulin and noninsulin agents that currently are available, along with their indications and contraindications. The article provides information to help clinicians in decision making in order to provide individualized glycemic goals and appropriate therapy for patients with ESRD or earlier stages of CKD." @default.
- W2014743406 created "2016-06-24" @default.
- W2014743406 creator A5014116477 @default.
- W2014743406 creator A5053153618 @default.
- W2014743406 date "2014-02-01" @default.
- W2014743406 modified "2023-10-17" @default.
- W2014743406 title "Glycemic Management in ESRD and Earlier Stages of CKD" @default.
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