[Diabetes management issues for patients with chronic kidney disease].
Chronic kidney disease is in continuous increase and can be found in up to 23% of patients with diabetes. Glycemic control is difficult to assess and medication therapy for diabetes may require dose adjustments part of the alteration of drug's pharmacokinetics and the insulin resistance which is predicting cardiovascular events. The recommended hemoglobin A1c goal is also lower than 7.0% without hypoglycemia. In this article, we review the therapeutic management of diabetic patients in chronic renal failure stage which is difficult and the ways to control blood glucose. Multidisciplinary approach, which is including management of comorbid diseases, is necessary to provide the optimal care of these patients.
Service d'endocrinologie, diabétologie et nutrition, hôpital militaire d'instruction Mohammed V, Rabat, Maroc. oasmaa@hotmail.com
Asmaa
A
Oulahiane
Sara
S
Anaddam
Hassan
H
Ouleghzal
Nadia
N
Elhaddad
Souad
S
Moussaoui
Noussaima
N
Yaagoubi
Fatima
F
Boufares
Ghizlaine
G
Belmejdoub
D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000188:drug therapy*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000188:drug therapy*; D003928:Diabetic Nephropathies / Q000150:complications*; D006801:Humans; D051436:Renal Insufficiency, Chronic / Q000150:complications*