Achieving desirable clinical outcomes in patients with chronic kidney disease and diabetes mellitus

What is it about?

A complication of diabetes mellitus (DM) is diabetic nephropathy since DM causes cirrhosis and thickening of nephrons impairing function that manifests as albuminuria, among others. High blood pressure (BP) or hypertension (HT) damages the blood vessels in the kidney, impairing function and also patients with diabetic nephropathy, often have HT. As such, it was important to review key services aimed at addressing diseases related to progression and management of CKD, including hospital DM and CKD inpatient services, cardiac rehabilitation out-patient programs, and endocrine out-patient services.

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Why is it important?

It was unknown as to how effective programs, such as diabetes inpatient services, endocrine out-patient services, and cardiac rehabilitation services, were at achieving guideline recommendations. This publication has lead to the development and publication of subsequent papers, considering the effectiveness of programs designed to manage DM and CKD patients.

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