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RenalInsufficiency

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Iron Deficiency Anemia: A Case-Based Focus on Patients With Chronic Kidney Disease CME

This activity is intended for nephrologists, cardiologists, endocrinologists, primary care/internal medicine physicians, and other interested specialists.  
medscape.org
almost 5 years ago
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Can Decision Support Systems Work for Acute Kidney Injury?

Getting a handle on acute kidney injury incidence can be daunting due to AKI's silent nature .  
medscape.com
almost 5 years ago
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7

Small, but Detectable, Pancreatitis Risk With DPP-4 Inhibitors

A meta-analysis of DPP-4 inhibitor trials for type 2 diabetes finds small but significantly higher risk of acute pancreatitis but is "reassuring" on heart failure, renal function, and pancreatic cancer.  
medscape.com
almost 5 years ago
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Excessive testing of adults with type 2 diabetes

When I began my medical training in 1980, I commonly encountered patients whose bodies were ravaged by end stage complications of diabetes. These patients often had marked visual impairment, debilitating neuropathy, myopathies, and diabetes related renal insufficiency, well before age 65 years. I still occasionally see such individuals, but they are rare, and tend to come from the 10-15% of patients who still have poor glycemic control. Improvement in diabetes care is a medical success story, but increasing evidence suggests that overly aggressive treatment is an under-appreciated problem.  
feeds.bmj.com
almost 5 years ago
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0

Excessive testing of adults with type 2 diabetes

When I began my medical training in 1980, I commonly encountered patients whose bodies were ravaged by end stage complications of diabetes. These patients often had marked visual impairment, debilitating neuropathy, myopathies, and diabetes related renal insufficiency, well before age 65 years. I still occasionally see such individuals, but they are rare, and tend to come from the 10-15% of patients who still have poor glycemic control. Improvement in diabetes care is a medical success story, but increasing evidence suggests that overly aggressive treatment is an under-appreciated problem.  
feeds.bmj.com
almost 5 years ago
Preview
0
0

Excessive testing of adults with type 2 diabetes

When I began my medical training in 1980, I commonly encountered patients whose bodies were ravaged by end stage complications of diabetes. These patients often had marked visual impairment, debilitating neuropathy, myopathies, and diabetes related renal insufficiency, well before age 65 years. I still occasionally see such individuals, but they are rare, and tend to come from the 10-15% of patients who still have poor glycemic control. Improvement in diabetes care is a medical success story, but increasing evidence suggests that overly aggressive treatment is an under-appreciated problem.  
feeds.bmj.com
almost 5 years ago
Preview
0
0

Excessive testing of adults with type 2 diabetes

When I began my medical training in 1980, I commonly encountered patients whose bodies were ravaged by end stage complications of diabetes. These patients often had marked visual impairment, debilitating neuropathy, myopathies, and diabetes related renal insufficiency, well before age 65 years. I still occasionally see such individuals, but they are rare, and tend to come from the 10-15% of patients who still have poor glycemic control. Improvement in diabetes care is a medical success story, but increasing evidence suggests that overly aggressive treatment is an under-appreciated problem.  
feeds.bmj.com
almost 5 years ago
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6
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Chronic Kidney Disease | Clinical Gate

The kidney is one of the most highly differentiated organs in the body. At the conclusion of embryologic development, nearly 30 different cell types form a multitude of filtering capillaries and segmented nephrons enveloped by a dynamic interstitium. This cellular diversity modulates a variety of complex physiologic processes. Endocrine functions, the regulation of blood pressure and intraglomerular hemodynamics, solute and water transport, acid-base balance, and removal of drug metabolites are all accomplished by intricate mechanisms of renal response. This breadth of physiology hinges on the clever ingenuity of nephron architecture that evolved as complex organisms came out of water to live on land.  
clinicalgate.com
almost 5 years ago
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2

LIRA-RENAL: Liraglutide Safe in Diabetes With Renal Failure

Data from the LIRA-RENAL study detailing use of liraglutide in patients with type 2 diabetes and moderate kidney disease have been published.  
medscape.com
over 4 years ago
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Proton pump inhibitors are associated with risk of chronic kidney disease, study finds

Proton pump inhibitor use is associated with a 20-50% higher risk of incident chronic kidney disease, an observational US study published in JAMA Internal Medicine has found. However, the authors said that further research was needed to determine whether the link is causal.1  
feeds.bmj.com
over 4 years ago
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Tool Estimates Likelihood of Kidney Failure in At-Risk Patients

A Canadian model for predicting kidney failure risk was validated in a multinational meta-analysis and is now available online.  
medscape.com
over 4 years ago
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Acute Kidney Injury Predicts Adverse Outcomes in Diabetes

Acute kidney injury, albuminuria, and low eGFR may be prognostic indicators of major adverse events in patients with diabetes.  
medscape.com
over 4 years ago
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Chronic kidney disease in elderly people: disease or disease label?

Timothy Ellam and colleagues argue for a focus on what diagnosis means for individual patients rather than population risks  
feeds.bmj.com
over 4 years ago
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Chronic kidney disease in elderly people: disease or disease label?

Timothy Ellam and colleagues argue for a focus on what diagnosis means for individual patients rather than population risks  
feeds.bmj.com
over 4 years ago
Preview
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0

Chronic kidney disease in elderly people: disease or disease label?

Timothy Ellam and colleagues argue for a focus on what diagnosis means for individual patients rather than population risks  
feeds.bmj.com
over 4 years ago
Preview
0
0

Chronic kidney disease in elderly people: disease or disease label?

Timothy Ellam and colleagues argue for a focus on what diagnosis means for individual patients rather than population risks  
feeds.bmj.com
over 4 years ago
Preview
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Stomach acid drugs linked to chronic kidney disease

A new study finds that use of proton pump inhibitors - drugs commonly used for controlling stomach acid - may be linked to higher risk for chronic kidney disease.  
medicalnewstoday.com
over 4 years ago
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Erythropoietin helps people with kidney failure and symptoms from anaemia who are not yet on dialysis | Cochrane

Anaemia (low red blood cells) is a common complication of kidney failure. Anaemia causes some of the tiredness and problems associated with kidney failure. Manufactured erythropoietin (a hormone that increases red blood cell production) improves this, and is used by people on dialysis (treatment from an artificial kidney machine). This review found it can also reduce anaemia for people with kidney failure who are not yet on dialysis. It is not known if erythropoietin use can delay the need for dialysis.  
cochrane.org
over 4 years ago
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Replacing the term chronic kidney disease

Ellam and colleagues should have had the courage to place “disease” in parenthesis.1 Or did The BMJ house style not let them?  
feeds.bmj.com
over 4 years ago
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Erythropoietin stimulating agents do not significantly improve quality of life in chronic kidney disease, study finds

Treating chronic kidney disease more intensively with erythropoietin stimulating agents (ESAs) to achieve higher haemoglobin levels did not improve patients’ quality of life, a meta-analysis published in the Annals of Internal Medicine has shown.1  
feeds.bmj.com
over 4 years ago