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- W2079753423 abstract "The association between diabetes, cardiovascular disease and chronic kidney disease has been well described, especially the increased risk in the presence of microalbuminuria or proteinuria. There have been a number of recent studies that have identified renal outcomes as the primary endpoint and cardiovascular outcomes as secondary endpoints. In this issue of Practical Diabetes International the paper written by Thomson and Fisher examines these studies to determine the use of ACE inhibitors and angiotensin receptor blockers and their benefit in reducing cardiovascular outcomes in these high-risk groups of patients. With so much emphasis on cardiovascular protection for these patients, it is important that we are well informed as to the most effective strategies for treatment. The relationship between diabetes and renal units does not just originate from people with diabetes developing renal complications, but also by renal patients developing diabetes, namely those with new-onset diabetes after transplantation (NODAT). Raising awareness is key so that this potentially serious complication of transplantation is not forgotten. Krentz and Wheeler's informative paper describes the increasing threat from NODAT and highlights newly developed guidelines for its management and risk reduction, concluding that there is more research needed in this field to establish the most effective strategies for prevention and treatment. The importance of good communication and joint management of this group of patients is the focal point of the article by Kemp, where she describes the model of care developed in Portsmouth and plans to move this into primary care in the future. If we are to effectively manage patients with both diabetes and renal conditions, it is paramount that there is good multi-professional communication, education and understanding underpinning strategies of care. Therefore, awareness of the issues that are raised in all of these articles applies to the whole breadth of staff working in the context of caring for both groups of patients." @default.
- W2079753423 created "2016-06-24" @default.
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- W2079753423 date "2006-01-01" @default.
- W2079753423 modified "2023-10-18" @default.
- W2079753423 title "Raising awareness is key to effective management of diabetes and renal disease" @default.
- W2079753423 doi "https://doi.org/10.1002/pdi.879" @default.
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