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Nephrology

Nephrology and Kidney Care for Diabetics: Diabetes causes tremendous stress and damage to the kidneys. Diabetes patients are frequently renally impaired and at high risk for kidney failure if not on dialysis. This further complicates the management of their diabetes and increases mortality risk. However, new treatments, drugs, and clinical insights are aiding medical professionals in their fight against kidney disease and its relationship to diabetes.

Friend’s Advice Causes Patient Problems

Last week I saw a patient who seemed to be losing control of her blood glucose levels. She had been doing well and her A1c had been around 6.0 - 6.3 for the past couple of years. She was doing this while only on metformin 1000 twice a day. She was referred to me by her physician because of high after-meal readings ranging up to 350 mg/dl. I went over her medical history and medications looking for a possible problem and found nothing.

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