Hypoglycemia, Chronic Kidney Disease, and Diabetes Mellitus

被引：74

作者：

Alsahli, Mazen ^{[1
]}

Gerich, John E. ^{[2
]}

机构：

[1] Univ Toronto, Fac Med, Dept Med, Toronto, ON, Canada

[2] Univ Rochester, Sch Med & Dent, Dept Med, Rochester, NY 14642 USA

来源：

MAYO CLINIC PROCEEDINGS | 2014年 / 89卷 / 11期

关键词：

GLOMERULAR-FILTRATION-RATE; GLUCOSE COUNTERREGULATION; NOCTURNAL HYPOGLYCEMIA; RENAL-INSUFFICIENCY; INSULIN SENSITIVITY; RISK-FACTORS; TYPE-1; FREQUENCY; ASSOCIATION; PHARMACOKINETICS;

D O I：

10.1016/j.mayocp.2014.07.013

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Hypoglycemia is a major problem associated with substantial morbidity and mortality in patients with diabetes and is often a major barrier to achieving optimal glycemic control. Chronic kidney disease not only is an independent risk factor for hypoglycemia but also augments the risk of hypoglycemia that is already present in people with diabetes. This article summarizes our current knowledge of the epidemiology, pathogenesis, and morbidity of hypoglycemia in patients with diabetes and chronic kidney disease and reviews therapeutic considerations in this situation. PubMed and MEDLINE were searched for literature published in English from January 1989 to May 2014 for diabetes mellitus, hypoglycemia, chronic kidney disease, and chronic renal insufficiency. (C) 2014 Mayo Foundation for Medical Education and Research

引用

页码：1564 / 1571

页数：8

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