Severe hypoglycemia: Is it important to take into account the albuminuria value?
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Keywords

Albuminuria
Diabetes Mellitus
Hypoglycemia
Chronic Renal Insufficiency
Risk Factors
Insulin

How to Cite

1.
Rico-Fontalvo J, Daza-Arnedo R, Bohorquez-Rivero J, Restom-Arrieta J. Severe hypoglycemia: Is it important to take into account the albuminuria value?. Rev. Colomb. Nefrol. [Internet]. 2023 Apr. 12 [cited 2024 Apr. 27];10(2). Available from: https://revistanefrologia.org/index.php/rcn/article/view/617

Abstract

The authors conclude that in patients with DM2, more advanced CKD was associated with greater insulin use, proposing different explanations of this relationship, however, we consider that in addition to these findings, within the study there are no patients using Dipeptidyl Peptidase-4 Inhibitors (DPP4i), probably by that time they were not being used yet. Therefore, patients with advanced CKD only had insulin as the only option, which explains a greater frequency of its use in this group of patients.

https://doi.org/10.22265/acnef.10.2.617
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References

Grube D, Wei G, Boucher R, Abraham N, Zhou N, Gonce V, et al.. Insuline use in chronic kidney disease and the risk of hipoglycemic events. BMC Nephrol. 2022:23(1):73. https://doi.org/10.1186/s12882-022-02687-w

Daza-Arnedo R, Rico-Fontalvo J, Pajaro-Galvis N, Leal-Martinez V, Abuabara-Franco E, Raad-Sarabia M, et al. Dipeptidyl Peptidase-4 Inhibitors and Diabetic Kidney Disease: A Narrative Review. Kidney Med. 2021:3(6):1065-1073. https://doi.org/10.1016/j.xkme.2021.07.007

Lopera-Vargas JM, Rico-Fontalvo JE, Melgarejo E, Castillo-Barrios GA, Ramírez-Rincón A, Gómez AM, et al. Efecto de terapias farmacológicas para el control glicémico en pacientes con diabetes mellitus tipo 2 en los desenlaces vasculares. Rev Colomb Nefrol. 2020;7(1):44-59. https://doi.org/10.22265/acnef.7.1.372

Yun JS, Ko SH, Ko SH, Song KH, Ahn YB, Yoon KH, et al. Presence of macroalbuminuria predicts severe hypoglycemia in patients with type 2 diabetes: a 10-year follow-up study. Diabetes Care. 2013;36(5):1283-1289. https://doi.org/10.2337/dc12-1408

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