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Diabetes management in chronic kidney disease: a consensus report by the American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO).

journal contribution
posted on 24.11.2022, 11:47 authored by Ian H de Boer, Kamlesh Khunti, Tami Sadusky, Katherine R Tuttle, Joshua J Neumiller, Connie M Rhee, Sylvia E Rosas, Peter Rossing, George Bakris
People with diabetes and chronic kidney disease (CKD) are at high risk for kidney failure, atherosclerotic cardiovascular disease, heart failure, and premature mortality. Recent clinical trials support new approaches to treat diabetes and CKD. The 2022 American Diabetes Association (ADA) Standards of Medical Care in Diabetes and the Kidney Disease: Improving Global Outcomes (KDIGO) 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease each provide evidence-based recommendations for management. A joint group of ADA and KDIGO representatives reviewed and developed a series of consensus statements to guide clinical care from the ADA and KDIGO guidelines. The published guidelines are aligned in the areas of CKD screening and diagnosis, glycemia monitoring, lifestyle therapies, treatment goals, and pharmacologic management. Recommendations include comprehensive care in which pharmacotherapy that is proven to improve kidney and cardiovascular outcomes is layered on a foundation of healthy lifestyle. Consensus statements provide specific guidance on use of renin-angiotensin system inhibitors, metformin, sodium-glucose cotransporter-2 inhibitors, glucagon-like peptide 1 receptor agonists, and a nonsteroidal mineralocorticoid receptor antagonist. These areas of consensus provide clear direction for implementation of care to improve clinical outcomes of people with diabetes and CKD.

History

Author affiliation

Diabetes Research Centre, College of Life Sciences, University of Leicester

Version

AM (Accepted Manuscript)

Published in

Kidney international

Volume

102

Issue

5

Pagination

974 - 989

Publisher

Elsevier BV

issn

0085-2538

eissn

1523-1755

Copyright date

2022

Available date

03/10/2023

Spatial coverage

United States

Language

eng

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