Glycemic control in diabetic dialysis patients and the burnt-out diabetes phenomenon

Jongha Park, Paungpaga Lertdumrongluk, M. Molnár, Csaba P. Kovesdy, Kamyar Kalantar-Zadeh

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Diabetes mellitus (DM) is the most common cause of end-stage kidney disease and a major risk of morbidity and mortality. It is not clear whether medical management of DM has any significant beneficial effect on clinical outcomes at the end-stage of diabetic nephropathy with full-blown micro- and macro-angiopathic complications. Both loss of kidney function and dialysis treatment interfere with glucose homeostasis and confound glycemic control. Given the unique nature of uremic milieu and dialysis therapy related alterations, there have been some debates about reliance on the conventional measures of glycemic control, in particular the clinical relevance of hemoglobin A1c and its recommended target range of

Original languageEnglish
Pages (from-to)432-439
Number of pages8
JournalCurrent Diabetes Reports
Volume12
Issue number4
DOIs
Publication statusPublished - Aug 2012

Fingerprint

Dialysis
Diabetes Mellitus
Milieu Therapy
Diabetic Nephropathies
Chronic Kidney Failure
Hemoglobins
Homeostasis
Morbidity
Kidney
Glucose
Mortality
Therapeutics

Keywords

  • Burnt-out diabetes
  • Chronic kidney disease
  • Diabetes mellitus
  • Diabetic dialysis
  • Glycemic control
  • Hemoglobin A1c
  • Maintenance dialysis

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

Glycemic control in diabetic dialysis patients and the burnt-out diabetes phenomenon. / Park, Jongha; Lertdumrongluk, Paungpaga; Molnár, M.; Kovesdy, Csaba P.; Kalantar-Zadeh, Kamyar.

In: Current Diabetes Reports, Vol. 12, No. 4, 08.2012, p. 432-439.

Research output: Contribution to journalArticle

Park, Jongha ; Lertdumrongluk, Paungpaga ; Molnár, M. ; Kovesdy, Csaba P. ; Kalantar-Zadeh, Kamyar. / Glycemic control in diabetic dialysis patients and the burnt-out diabetes phenomenon. In: Current Diabetes Reports. 2012 ; Vol. 12, No. 4. pp. 432-439.
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