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Diabetics frequently develop CKD, and impaired renal function can complicate diabetic management. Appropriate dosing of diabetic medications should take into account glycemic control in addition to the propensity for hypoglycemia in patients with CKD.

Biesenbach G, Raml A, Schmekal B, et al. Decreased insulin requirement in relation to GFR in nephropathic Type 1 and insulin-treated Type 2 diabetic patients. Diabet Med. 2003 Aug;20(8):642-5.

Snyder RW, Berns JS. Use of insulin and oral hypoglycemic medications in patients with diabetes mellitus and advanced kidney disease. Semin Dial. 2004 Sep-Oct;17(5):365-7


Last Updated - May 08 2017 15:25:50.

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