JAMA Clinical Reviews Chronic Kidney Disease and Diabetes
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Dec 26, 2024 Ian H. de Boer, a nephrology expert from the University of Washington, discusses the critical link between chronic kidney disease (CKD) and diabetes. He reveals that 30-40% of diabetic patients develop CKD and emphasizes innovative prevention strategies, including lifestyle changes and screening tests like eGFR. The conversation also covers groundbreaking treatments such as SGLT2 inhibitors and finerenone, showcasing their potential to significantly reduce CKD progression and enhance patient outcomes. Don't miss these vital insights!
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CKD Screening
- Screen for chronic kidney disease (CKD) in patients with diabetes using estimated GFR (eGFR) and albuminuria.
- Measure both annually, starting at type 2 diagnosis or five years after type 1.
CKD Causes
- Diabetes and CKD often co-occur, but CKD may have other causes.
- Look for sudden changes in eGFR/albuminuria, urinary sediment abnormalities, or relevant comorbidities.
CKD Prevention
- Prevent CKD in diabetes with intensive glycemic control, especially early on.
- Maintain good cardiovascular health through physical activity and a healthy body weight.