Early CKD Detection: Key Steps to Prevent Kidney Failure and Cardiovascular Risks
Chronic kidney disease (CKD) is a major health concern, increasing risks for mortality, cardiovascular issues, and kidney failure. Early identification and management are key to reducing these risks.
Causes, Risks, and Treatment of Early Morning Hyperglycemia in Diabetes
The dawn phenomenon (DP) refers to early morning hyperglycemia in individuals with diabetes or prediabetes, typically occurring between 3:00 and 8:00 AM, without prior nocturnal hypoglycemia. It impacts up to 55% of those with type 2 diabetes and is linked to poorer outcomes, including higher A1c levels and increased risks of heart and kidney disease.
Guidelines Emphasize Personalized, Interprofessional Diabetes Care
The American Diabetes Association provides clinical recommendations for managing diabetes with a focus on personalized, interprofessional care. This approach considers individual preferences, cultural factors, and barriers to care.
Glycemic Control in Chronic Kidney Disease
In healthy individuals, glucose is filtered at the glomerulus, with most reabsorbed by sodium-glucose cotransporters (SGLT2 and SGLT1) in the proximal tubule. Kidney disease can impair this process, reducing the ability to filter and reabsorb glucose, potentially causing hyperglycemia or hypoglycemia.
