Diabetes is a leading cause of kidney failure leading to CKD (chronic kidney disease) and kidney failure, that may necessitate Dialysis or Hemodialysis. Diabetes is an increasing problem in the United States, often associated with the growing obesity epidemic.

Hemodialysis.com presents ongoing research articles into diabetes research and management and the implications for chronic kidney disease.

Diabetes | Dialysis | Hemodialysis | Chronic Kidney Disease Updated October 31 2012

Hemodialysis.com Authors' Interview: Margaret K. Yu, MD, Bessie A. Young, MD

ASN SA-PO480] Association between Major Depression and Chronic Kidney Disease in an Outpatient Diabetic Population

Hemodialysis.com Author Interview: Dr. Robert Nelson, MD, PhD

Associations of kidney disease measures with mortality and ESRD in individuals with and without diabetes: a meta-analysis

Caroline S Fox MD,Kunihiro Matsushita MD,Prof Mark Woodward PhD,Prof Henk JG Bilo MD,Prof John Chalmers MD,Hiddo J Lambers Heerspink PharmD,Brian J Lee MD,Robert M Perkins MD,Prof Peter Rossing MD,Toshimi Sairenchi PhD,Prof Marcello Tonelli MD,Joseph A Vassalotti MD,Kazumasa Yamagishi MD,Prof Josef Coresh MD,Prof Paul E de Jong MD,Chi-Pang Wen MD,Robert G Nelson MD,for the Chronic Kidney Disease Prognosis Consortium
The Lancet - 24 September 2012
DOI: 10.1016/S0140-6736(12)61350-6


Hemoglobin A1c Levels and Mortality in the Diabetic Hemodialysis Population: Findings from the Dialysis Outcomes and Practice Patterns Study (DOPPS).

Ramirez SP, McCullough KP, Thumma JR, Nelson RG, Morgenstern H, Gillespie BW, Inaba M, Jacobson SH, Vanholder R, Pisoni RL, Port FK, Robinson BM.
Arbor Research Collaborative for Health, Ann Arbor, Michigan.
Diabetes Care. 2012 Aug 21. [Epub ahead of print]

Author Interview: Frank-Peter Tillmann

PREVALENCE AND RISK FACTORS OF PRE-DIABETES AFTER RENAL TRANSPLANTATION: A SINGLE-CENTRE COHORT STUDY IN 200 CONSECUTIVE PATIENTS

Frank-Peter Tillmann, Ivo Quack, Ana Schenk, Bernd Grabensee,  Lars C. Rump,and Gerd R. Hetzel
Nephrol. Dial. Transplant. first published online April 6, 2012 doi:10.1093/ndt/gfs020

Author Interview: Allison Dart MD MSc FRCPC

High Burden of Kidney Disease in Youth-Onset Type 2 Diabetes.

Dart AB, Sellers EA, Martens PJ, Rigatto C, Brownell MD, Dean HJ.

Diabetes Care. 2012 Mar 19. [Epub ahead of print]

Author Interview: Dr. Gary E. Striker

of Sevelamer on HbA1c, Inflammation, and Advanced Glycation End Products in Diabetic Kidney Disease

  • Helen Vlassara, Jaime Uribarri, Weijing Cai, Susan Goodman, Renata Pyzik,James Post, Fabrizio Grosjean, Mark Woodward, and Gary E. Striker

    CJASN
     CJN.12891211; published ahead of print March 29, 2012,doi:10.2215/CJN.12891211

Author Interview:Hien Pham, M.D.

Chronic Kidney Disease, Insulin Resistance, and Incident Diabetes in Older Adults

Hien Pham, Cassianne Robinson-Cohen, Mary L. Biggs, Joachim H. Ix,Kenneth J. Mukamal, 
Linda F. Fried, Bryan Kestenbaum, David S. Siscovick, and Ian H. de Boer
CJASN
CJN.11861111; published ahead of print March 1, 2012,doi:10.2215/CJN.11861111

NKF: Protect Your Kidneys, Prevent Pre-Diabetes
Kidneys play a life sustaining role in the body. Healthy kidneys filter your blood, regulate blood pressure and remove waste products and excess fluid from the body.  During March, National Kidney Month, the National Kidney Foundation (NKF) is sounding the alert about a little-known condition called prediabetes that can damage the kidneys. According to the NKF, the good news is that prediabetes is  reversible if detected early.

Author Interview: -Dr. Manfred Hecking, MD and Dr. Marcus Säemann

Early Basal Insulin Therapy Decreases New-Onset Diabetes after Renal Transplantation

Manfred Hecking, Michael Haidinger, Dominik Döller, Johannes Werzowa, Andrea Tura,Jinyao Zhang, Hilal Tekoglu, Johannes Pleiner, Thomas Wrba,Susanne Rasoul-Rockenschaub, Ferdinand Mühlbacher, Sabine Schmaldienst,Wilfred Druml, Walter H. Hörl, Michael Krebs, Michael Wolzt, Giovanni Pacini, Friedrich K. Port, and Marcus D. Säemann

JASN Feb 16, 2012 ASN.2011080835; published ahead of print February 16, 2012,doi:10.1681/ASN.2011080835

Author Interview: Tomonari Ogawa, M.D. Ph.D

Endogenous factors modified by hemodialysis may interfere with the accuracy of blood glucose-measuring device.

Ogawa, T., Murakawa, M., Matsuda, A., Kanozawa, K., Kato, H., Hasegawa, H. and Mitarai, T. (2011),Hemodialysis International. doi: 10.1111/j.1542-4758.2011.00640.x

ASN 2011 Abstract Authors' Interview:

Hypoglycemia-Related Hospitalization in Diabetic Hemodialysis Patients.

Eduardo Lacson, Jr., MD, MPH, Weiling Wang, MS, Michael Lazarus, MD, Mark Williams, MD
Fresenius Medical Care, Waltham, MA, and Joslin Diabetes Center, Boston, MA

Authors' Interview: Drs. Miklos Z Molnar and Kam Kalantar-Zadeh

Association of Pretransplant Glycemic Control With Posttransplant Outcomes in Diabetic Kidney Transplant Recipients

Miklos Z. Molnar, Edmund Huang, Junichi Hoshino, Mahesh Krishnan, Allen R. Nissenson, Csaba P. Kovesdy, and Kamyar Kalantar-Zadeh

Diabetes Care December 2011 34:2536-2541;
doi:10.2337/dc11-0906

Author Interview: Sirin Jiwakanon, MD.

Change in Ankle-Brachial Indices over Time and Mortality in Diabetics with Proteinuria
ASN 2011 Abstract:
Sirin Jiwakanon, MD, Sharon G. Adler, MD, FASN, Rajnish Mehrotra, MD, FASN. Medicine, Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, CA; Medicine, Hatyai Hospital, Hatyai, Songkhla, Thailand.

ASN: WHICH DIABETES DRUG IS BEST FOR DIABETICS WITH KIDNEY DISEASE? 
Sitagliptin is safer and as effective as glipizide in patients with type 2 diabetes and CKD

Highlights

  • Sitagliptin is as effective as glipizide at lowering blood sugar levels in patients with type 2 diabetes and chronic kidney disease.
  • Sitagliptin is less likely than glipizide to cause dangerously low blood sugar levels.
  • Patients on sitagliptin tend to lose weight, while those on glipizide gain weight.

Author Interview: Dr. Timothy Kenealy

Increased prevalence of albuminuria among non-European peoples with type 2 diabetes

Timothy Kenealy, Carolyn Raina Elley, John F. Collins,  Simon A. Moyes,
Patricia A. Metcalf, and Paul L. Drury Nephrol. Dial. Transplant.
(2011)first published online September 13, 2011 doi:10.1093/ndt/gfr540

Fresenius Medical Care Will Be a Speaker Sponsor at the American Diabetes Association's EXPO Pittsburgh

Company to Host Educational Seminars to Promote Awareness of Kidney Disease for the At-Risk Community

PITTSBURGH – November 1, 2011 – Diabetes is the single leading cause of kidney failure in the U.S., accounting for about 44 percent of the people who start treatment for kidney failure each year. To help raise awareness of the links between diabetes and chronic kidney disease (CKD), Fresenius Medical Care North America (FMCNA), the nation’s leading network of dialysis facilities, will be a speaker sponsor at the American Diabetes Association (the Association) EXPO Pittsburgh, to be held at the David L. Lawrence Convention Center, on Saturday, Nov. 5, from 9:00 a.m. – 4:00 p.m.

Author Interview: Matthew Budoff, MD

Relationship of Estimated GFR and Coronary Artery Calcification in the CRIC (Chronic Renal Insufficiency Cohort) Study.

Budoff MJ, Rader DJ, Reilly MP, Mohler ER 3rd, Lash J, Yang W, Rosen L, Glenn M, Teal V, Feldman HI; CRIC Study Investigators.Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, CA.

Author Interview: Dr. Hallvard Holdaas
Rosuvastatin in Diabetic Hemodialysis Patients.

Holdaas H, Holme I, Schmieder RE, Jardine AG, Zannad F, Norby GE, Fellström BC; on behalf of the AURORA study group.
J Am Soc Nephrol. 2011 Jul;22(7):1335-1341
Renal Section, Oslo University Hospital, Rikshospitalet, Oslo, Sognsvannsveien 22, 0072 Oslo, Norway

Author Interview: Dr. Hongmei Wu
Education programmes for people with diabetic kidney disease.

Li T, Wu HM, Wang F, Huang CQ, Yang M, Dong BR, Liu GJ
Cochrane Database of Systematic Reviews 2011, Issue 6. Art.
No.: CD007374. DOI: 10.1002/14651858.CD007374.pub2

Author Interview: Drs. Peter Kotanko and Jochen G. Raimann
Effects of Dialysate Glucose Concentration on Heart Rate Variability in Chronic Hemodialysis Patients: Results of a Prospective Randomized Trial.


Ferrario M, Raimann JG, Thijssen S, Signorini MG, Kruse A, Diaz-Buxo JA, Cerutti S, Levin NW, Kotanko P.
Kidney Blood Press Res. 2011 May 25;34(5):334-343.
Author Interview: Barry I. Freedman, M.D.
Glycated Albumin and Risk of Death and Hospitalizations in Diabetic Dialysis Patients.


Freedman BI, Andries L, Shihabi ZK, Rocco MV, Byers JR, Cardona CY, Pickard MA, Henderson DL, Sadler MV, Courchene LM, Jordan JR, Balderston SS, Graham AD, Mauck VL, Russell GB, Bleyer AJ.
Clin J Am Soc Nephrol. 2011 May 19
Author Interview: Dr. Hallvard Holdaas:
Rosuvastatin in Diabetic Hemodialysis Patients.

Am Soc Nephrol. 2011 May 12.
Holdaas H, Holme I, Schmieder RE, Jardine AG, Zannad F, Norby GE, Fellström BC; on behalf of the AURORA study group.
Department of Nephrology, Oslo University Hospital, Rikshospitalet, Oslo, Norway;
Author Interview: Professor JL Lin
Blood cadmium level's association with 18-month mortality in diabetic patients with maintenance haemodialysis.
Yen TH, Lin JL, Lin-Tan DT, Hsu CW, Chen KH, Hsu HH.
Nephrol Dial Transplant. 2011 Mar;26(3):998-1005.
Author Interview: Jaakko Helve, MD
COMORBIDITIES AND SURVIVAL OF PATIENTS WITH TYPE 1 DIABETES ON RENAL REPLACEMENT THERAPY


Diabetologia. 2011 Apr 5.
Helve J, Haapio M, Groop PH, Grönhagen-Riska C, Finne P.
Cystatin C as an early biomarker of nephropathy in patients with type 2 diabetes.

J Korean Med Sci. 2011 Feb;26(2):258-63.
Jeon YK, Kim MR, Huh JE, et al
Department of Internal Medicine, Pusan National University Hospital, Busan, Korea.

Incidence of end-stage renal disease attributed to diabetes among persons with diagnosed diabetes --- United States and puerto rico, 1996--2007.

MMWR Morb Mortal Wkly Rep. 2010 Oct 29;59(42):1361-6

Centers for Disease Control and Prevention (CDC).

Environmental Tobacco Smoke Furthers Progression of Diabetic Nephropathy.

Am J Med Sci. 2010 Oct 4.
Obert DM, Hua P, Pilkerton ME, Feng W, Jaimes EA.
From the Division of Nephrology (dmo, ph, mep, wf, eaj), Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; and VA Medical Center (eaj), Birmingham, Alabama.

Erythropoietic Response and Outcomes in Kidney Disease and Type 2 Diabetes

N Engl J Med 2010; 363:1146-1155  September 16 2010

Scott D. Solomon, M.D., Hajime Uno, Ph.D., Eldrin F. Lewis, M.D., M.P.H., Kai-Uwe Eckardt, M.D., Julie Lin, M.D., M.P.H., Emmanuel A. Burdmann, M.D., Ph.D., Dick de Zeeuw, M.D., Ph.D., Peter Ivanovich, M.D., Andrew S. Levey, M.D., Patrick Parfrey, M.D., Giuseppe Remuzzi, M.D., Ajay K. Singh, M.D., Robert Toto, M.D., Fannie Huang, M.S., Jerome Rossert, M.D., Ph.D., John J.V. McMurray, M.D., and Marc A. Pfeffer, M.D., Ph.D. for the Trial to Reduce Cardiovascular Events with Aranesp Therapy (TREAT) Investigators

Skin blood flow in patients with stage 5 chronic kidney disease on hemodialysis.

J Ren Nutr. 2010 Sep;20(5 Suppl):S89-94.

Ngo B, Rongey C, Hiscox B, Rendell M, Woodley D, Smogorzewski M.
Department of Dermatology, University of Southern California, Keck School of Medicine, Los Angeles, California, USA.

Glycemic Control and Extended Hemodialysis Survival in Patients with Diabetes Mellitus: Comparative Results of Traditional and Time-Dependent Cox Model Analyses.

Clin J Am Soc Nephrol. 2010 Jul 29.
Williams ME et al
Joslin Diabetes Center, Boston, Massachusetts et al

Hemoglobin A1c in Hemodialysis Patients: Should One Size Fit All?

Clin J Am Soc Nephrol. 2010 Jul 29.
Ix JH.

The heart and diabetic nephropathy.

Methodist Debakey Cardiovasc J. 2010 Apr-Jun;6(2):9-14.
Olivero JJ Jr.
Methodists DeBakey Heart & Vascular Center, Houston, Texas.

Correlation between glycated hemoglobin and mean plasma glucose in hemodialysis patients.

Int Urol Nephrol. 2010 Jul 24. Israel E, et al
Department of Internal Medicine, Nephrology Division, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY, USA.

Contrast Induced Nephropathy in Diabetic and Non-diabetic Patients during Coronary Angiogram and Angioplasty.

Mymensingh Med J. 2010 Jul;19(3):372-6.
Rahman MM, et al

Prognostic Implications of the Urinary Albumin to Creatinine Ratio in Veterans of Different Ages With Diabetes
Ann M. O’Hare, et al
Arch Intern Med. 2010;170(11):930-936.

Diabetic Foot Disease in People with Advanced Nephropathy and Those on Renal Dialysis.

Curr Diab Rep. 2010 Jun 8.
Ndip A, et al

Effect of diabetes mellitus on protein-energy wasting and protein wasting in end-stage renal disease.
Semin Dial. 2010 Mar;23(2):178-84.
Noori N, Kopple JD

Diabetic patients on peritoneal dialysis.

Semin Dial. 2010 Mar;23(2):191-7.
Passadakis PS, Oreopoulos DG.

A quality improvement model for optimizing care of the diabetic end-stage renal disease patient.
Semin Dial. 2010 Mar;23(2):206-13.
Mahnensmith RL, Zorzanello M, Hsu YH, Williams ME.

Glycemic Control and Burnt-Out Diabetes in ESRD.
Semin Dial. 2010 Mar 30.
Kovesdy CP, et al

Childhood Predictors of
Adult Type 2 Diabetes
at 9- and 26-Year Follow-ups
John A. Morrison, PhD; et al.
Archives Pediatric Adolescent Med. 
2010; 164(1):53-60.

This study explored factors in childhood that may help pediatricians and physicians predict the risk of diabetes later in adulthood.
Risk factors included:
Elevated Body Mass Index (BMI)
Elevated blood pressure
Parental diabetes
Laboratory changes: Glucose, Lipids, Insulin
The authors used a combination of these factors in childhood to predict later onset of Type II diabetes.

Large kidneys predict poor renal outcome in subjects with diabetes and chronic kidney disease

BMC Nephrol. 2010; 11: 3.
PMCID: PMC2837864

 

Cerebral Microvascular Disease Predicts Renal Failure in Type 2 Diabetes -- Abstract
Takashi Uzu et al

Shiga University of Medical Science, Otsu, Shiga, Japan et al
Journal of the American Society of Nephrology
American Society of Nephrology
doi: 10.1681/ASN.2009050558

This study evaluated patients with Type 2 Diabetes for evidence of silent cerbral vascular injury by using MRI imaging. The authors report an increased risk of development of end stage renal disease in patients with abnormal, silent findings of cerebral vascular disease and concluded:

"independent of microalbuminuria, cerebral microvascular disease predicted renal morbidity among patients with type 2 diabetes.".



 


 
 
 
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