Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Uremic Hypoglycemia


Affiliations
1 College of Nursing, Trivandrum, India
     

   Subscribe/Renew Journal


Hypoglycemia is a significant issue among chronic kidney disease population. Management requires early identification and judicious use of drugs. This review narrates various aspects of uremic hypoglycemia by focusing on individually tailored therapy.

Keywords

Hypoglycemia, Chronic Kidney Disease, Diabetes, Diabetic Nephropathy, Uremic Hypoglycemian’s.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Plantinga LC, Crews DC, Coresh J, Miller ER , Saran R, Yee J, et al. Prevalence of chronic kidney disease in US adults with undiagnosed diabetes or pre diabetes. Clinical Journal of American Society of Nephrology. 2010; Apr; 5 (4):673-82. doi: 10.2215/CJN.07891109. Epub 2010 Mar 25.
  • Anupama Y. J. and UmaG. Prevalence of chronic kidney disease among adults in a rural community in South India: Results from the kidney disease screening (KIDS) project Indian J Nephrol. 2014 Jul-Aug; 24(4): 214–221.
  • Nephropathy in Diabetes. American Diabetes Association. Diabetes Care, Volume 27, Supplement 1, January 2004 79-83.
  • Alsahli, M.; Gerich, J.E. Hypoglycemia in Patients with Diabetes and Renal Disease. Journal of Clinical Medicine. 2015, 4, 948964; doi:10.3390/jcm4050948
  • Bakatselos. Hypoglycemia unawareness. Diabetes Research and Clinical Practice. 2011 Aug; 93 Suppl 1:S92-6. doi: 10.1016/S0168-8227(11)70020-1.
  • Sparacino G, Facchinetti A, Maran A, Cobelli C 2008 Continuous glucose monitoring time series and hypo/hyperglycemia prevention: requirements, methods, open problems. Current Diabetes Reviews. Aug; 4(3):181-92.
  • Moen, M.F.; Zhan, M.; Hsu, V.D.; Walker, L.D.; Einhorn, L.M.; Seliger, S.L.; et al. Frequency of hypoglycemia and its significance in chronic kidney disease. Clin. J. Am. Soc. Nephrol. 2009, 4,1121–1127.
  • Gerstein HC, Miller ME, Byington RP. Action to Control Cardiovascular Risk in Diabetes Study Group (ACCORD) Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med 2008;358:2545–2559 [PMC free article] [PubMed]
  • UK Hypoglycaemia Study Group. Risk of hypoglycaemia in types 1 and 2 diabetes: effects of treatment modalities and their duration. Diabetologia. 2007 Jun; 50(6):1140-7. Epub 2007 Apr 6.
  • Bloomfield HE, Greer N, Newman D, MacDonald R, Carlyle M, Fitzgerald P, et al. Predictors and Consequences of Severe Hypoglycemia in Adults with Diabetes – A Systematic Review of the Evidence. VA-ESP Project #09-009; 2012.
  • Robinson, R.T.; Harris, N.D.; Ireland, R.H.; Macdonald, I.A.; Heller, S.R. Changes in cardiac repolarization during clinical episodes of nocturnal hypoglycemia in adults with Type 1 diabetes Diabetologia 2004, 47, 312–315.
  • McCoy, R.G.; van Houten, H.K.; Ziegenfuss, J.Y.; Shah, N.D.; Wermers, R.A.; Smith, S.A. Increased Mortality of Patients With Diabetes Reporting Severe Hypoglycemia. Diabetes Care 2012, 35, 1897–1901.
  • Tzamaloukas, Antonios H.; Murata, Glen H.; Zager, Philip G. et al. The Relationship between Glycemic Control and Morbidity and Mortality for Diabetics on Dialysis. ASAIO Journal: October/December 1993
  • Pai-Feng Hsu, Shih-Hsien Sung, Hao-Min Cheng, JongShiuanYeh, Wen-Ling Liu, Wan-Leong Chan. Et al. Association of Clinical Symptomatic Hypoglycemia with Cardiovascular Events and Total Mortality in Type 2 Diabetes. A nationwide population-based studyDecember 5, 2012, doi: 10.2337/dc12-0916 Diabetes Care April 2013 vol. 36 no. 4 894-900
  • Cryer PE. Hypoglycemia. In: Kasper.L.D et al.(eds.) Harrisons principles of internal medicine. (vol.2) Mc Graw Hill Publishing Division. 2005. 16 th edition. p. 2180-2185.
  • Seaquist, E.R.; Anderson, J.; Childs, B.; Cryer, P.; Dagogo-Jack, S.; Fish, L.; et al.. Hypoglycemia and diabetes: A report of a workgroup of the American Diabetes Association and the Endocrine Society. Diabetes Care 2013, 36 (May), 1384–1395.
  • Vazqueza N; Gonzaleza, F; Roshana R; Levenea R; Miskina B. Management of Severe Hypoglycemia. A Case Study and Recommendations. J Med Cases. 2015;6(9):413-416
  • Chung S, Koh E S, Shin S J, Park C W. Malnutrition in patients with chronic kidney disease Semin Dial. 2004 Sep-Oct; 17(5):36570.
  • Clinical practice Guidelines (2010). Kidney Disease Outcome Quality Initiative (NKF KDOQI) National Kidney Foundation – New York.
  • Parameswaran. S. Chronic Kidney Disease in India. 2012Health Sciences;1(2):JS001
  • KDIGO. 2012 Clinical Practice Guidelines for the Evaluation and Management of Chronic Kidney Disease. Kidney Int. 2013, 3, 1– 150.
  • Wright, R.J.; Frier, B.M. Vascular disease and diabetes: Is hypoglycaemia an aggravating factor? Diabetes Metab. Res. Rev. 2008, 24, 353–363.
  • Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association. 2013. Clinical Practice Guidelines for the Prevention and management of Diabetes in Canada. Can. J. Diabetes 2013, 37 (Suppl. S1), 1–212.
  • American Diabetes Association. Standards of medical care in diabetes—2014. Diabetes Care 2014; 37(suppl 1):S22–S23.
  • Hahr A J; Molitch M E. Management of diabetes mellitus in patients with chronic kidney disease. Clinical Diabetes and Endocrinology 2015. 1:2. DOI: 10.1186/s40842-015-0001-9
  • Yeh HC, Brown TT, Maruthur N, et al. Comparative effectiveness and safety of methods of insulin delivery and glucose monitoring for diabetes mellitus: a systematic review and meta-analysis. Ann Intern Med 2012;157:336–347.
  • Pandit K. Continuous glucose monitoring. Indian J EndocrinolMetab. 2012 Dec; 16(Suppl 2): S263–S266.doi: 10.4103/2230-8210.104056
  • Waanders F1, Visser FW, Gans RO.Current concepts in the management of diabetic nephropathy. Neth J Med. 2013 Nov;71(9):448-58.
  • Garg R, Williams M E. Diabetes Management in theKidney Patient. Med Clin N Am 97 (2013) 135–
  • http://dx.doi.org/10.1016/j.mcna.2012.11.001

Abstract Views: 209

PDF Views: 0




  • Uremic Hypoglycemia

Abstract Views: 209  |  PDF Views: 0

Authors

C. K. Radhika
College of Nursing, Trivandrum, India

Abstract


Hypoglycemia is a significant issue among chronic kidney disease population. Management requires early identification and judicious use of drugs. This review narrates various aspects of uremic hypoglycemia by focusing on individually tailored therapy.

Keywords


Hypoglycemia, Chronic Kidney Disease, Diabetes, Diabetic Nephropathy, Uremic Hypoglycemian’s.

References