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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.

Practical Diabetes Care, 3rd Ed., Excerpt #24: Diabetic Neuropathy Part 4 of 5

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David Levy, MD, FRCP      Mononeuropathies and other focal syndromes Peripheral mononeuropathies Upper limb Carpal tunnel syndrome (median nerve) Carpal tunnel syndrome is very common (remember the association with primary hypothyroidism, especially in type 1 diabetes) and may present with atypical symptoms, as it is often superimposed on diabetic polyneuropathy. Consider it …

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Cinacalcet May Protect Against Fracture in Dialysis

Mortality, cardiovascular disease risk remains same for patient with secondary hyperparathyroidism… After further review, adjusted findings from the EVOLVE Trial showed that cinacalcet may reduce the risk of fracture among patients on dialysis. In a pre-specified subgroup analysis, cinacalcet was associated with reduced fracture risk after taking baseline characteristics and …

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Niacin Benefits Kidney Mortality

The proportion of patients experiencing a rapid decline in estimated glomerular filtration rate (eGFR) can be decreased significantly with niacin, as can all-cause mortality… Elani Streja, PhD Chief investigator, University of California, Irvine Medical Center, commented on the study, stated, “Across all models of adjustment, patients who took niacin had …

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