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Module 1: Understanding Chronic Kidney Disease (ckd)Tips for MNT: diabetic kidney disease
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səhifə | 15/18 | tarix | 25.05.2022 | ölçüsü | 2,76 Mb. | | #87833 |
| Diet Module 1 2019Tips for MNT: diabetic kidney disease - Assess eGFR and UACR, obtain 2nd referral if CKD is identified (change in medical condition, diagnosis).
- Intensive glucose control to near normal glucose levels early in the course of diabetes may prevent or delay the onset of CKD.
- A1C < 8% may be appropriate for advanced CKD.
- A1C may measure lower in CKD due to increased erythrocyte turnover (shorter lifespan).
- Blood pressure control slows CKD progression.
- Review sodium intake.
- Certain blood pressure medications increase risk for hyperkalemia.
Follow trends in eGFR Follow trends in UACR - Note differences in timeframes
NKDEP tools to share with other providers - Explaining Your Kidney Test Results: A Tear-Off pad for clinical use
- https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/explain-kidney-test-results
- Quick Reference on GFR and UACR in Evaluating Patients with Diabetes for Kidney Disease
- https://www.niddk.nih.gov/health-information/health-communication-programs/nkdep/a-z/quick-reference-uacr-gfr/Documents/quick-reference-uacr-gfr-508.pdf
- Making Sense of CKD – A concise guide for managing chronic kidney disease in the primary care setting (Guide)
- https://www.niddk.nih.gov/health-information/health-communication-programs/nkdep/a-z/Documents/ckd-primary-care-guide-508.pdf
References - Alicic RZ, Rooney MT, Tuttle KR. Diabetic kidney disease: challenges, progress, and possibilities. Clinical Journal of the American Society of Nephrology. May 2017.doi: https://doi.org/10.2215/CJN.11491116
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- Bolignano D, Zoccali C. Effects of weight loss on renal function in obese CKD patients: a systematic review. Nephrology Dialysis Transplantation. 2013;28(Suppl 4):iv82-iv98.
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- Centers for Disease Control and Prevention. National Chronic Kidney Disease Fact Sheet: general information and national estimates on chronic kidney disease in the United States, 2017. Atlanta, GA: US Department of Health and Human Services. Centers for Disease Control and Prevention website.
- https://www.cdc.gov/diabetes/pubs/pdf/kidney_factsheet.pdf
- Accessed June 21, 2017.
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- Centers for Disease Control and Prevention. International Classification of Diseases, tenth revision (ICD-10-CM). Centers for Disease Control and Prevention website. https://www.cdc.gov/nchs/icd/icd10cm.htm Accessed August 18, 2017
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