Gestion du diab猫te en cas d鈥檌nsuffisance r茅nale chronique
- 作者：Asmaa Oulahiane ; oasmaa@hotmail.com ; Sara Anaddam ; Hassan Ouleghzal ; Nadia Elhaddad ; Souad Moussaoui ; Noussaima Yaagoubi ; Fatima Boufares ; Ghizlaine Belmejdoub
- 关键词：Contrô ; le glycé ; mique ; Diabè ; te ; Insuffisance ré ; nale chronique ; Insulinoré ; sistance
- 刊名：Né ; phrologie Thé ; rapeutique
- 出版年：2012
- 期刊代码：227_17697255
- 类别：med
- 出版时间：June, 2012
- 卷：8
- 期：3
- 页码：135-140
- 文件大小：345 K
摘要
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.