Managing Blood Glucose in Patient with Acute on Chronic Kidney Disease: A Case Report

Erlyne Tan, I Made Suma Wirawan

Abstract: Chronic Kidney Disease (CKD) is defined as abnormalities of kidney structure or function, present for > 3 months, with implications for health. Diabetes and hypertension are the leading causes of CKD in all developed countries. Managing glucose control is the key strategy in reducing the risk or slowing the progression of diabetic kidney disease (DKD). Meanwhile, they are at risk for acute diabetes-related complication such as hypoglycemia and diabetic ketoacidosis; long-term complications such as retinopathy, neuropathy, and foot complications. Patient with diabetes and CKD should be treated with a comprehensive strategy to reduce risks of the kidney progression and cardiovascular disease.

Keywords: Chronic kidney disease, diabetes mellitus, diabetic kidney disease