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Diabetespatienten mit chronischer Niereninsuffizienz

Neue Aspekte in Diagnostik und Therapie

Diabetes patients with chronic renal disease

New aspects in diagnostics and therapy

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Der Diabetologe Aims and scope

Zusammenfassung

Mit der Publikation der Nationalen VersorgungsLeitlinie „Nierenerkrankungen bei Diabetes im Erwachsenenalter“ 2010 wurde ein Meilenstein im Versorgungsmanagement dieser Patientengruppe erreicht. Die Beurteilung der qualitativen Umsetzung dieser Leitlinie und ihrer Auswirkung auf wesentliche Ergebnisparameter steht gegenwärtig aus. Mit der neuen Leitlinie der Kidney Disease: Improving Global Outcomes (KDIGO, 2012) zur Evaluation und zum Management der chronischen Nierenkrankheit sowie ergänzenden internationalen Leitlinien werden wesentliche Aspekte der Klassifikation, Prognoseabschätzung, Behandlungsziele und interdisziplinären Kooperation angesprochen, die für die Betreuung von Diabetespatienten mit Nierenerkrankungen von grundsätzlicher Bedeutung sind. Dieser Beitrag fasst einige dieser Aspekte zusammen mit dem Ziel, sie in das aktuelle Versorgungsmanagement zu integrieren.

Abstract

With the publication in 2010 of the German guidelines on renal diseases in adult diabetes mellitus, a milestone in the care of this patient group was achieved. The evaluation of quality and clinical results of these guidelines in daily practice is currently pending. The international guidelines on the evaluation and management of chronic kidney disease as developed by the “kidney disease: improving global outcomes (KDIGO)” initiative in 2012 and supplementary international guidelines significantly influenced the care for these patients with the focus on prognosis, risk stratification, therapeutic goals and interdisciplinary cooperation. The aim of this article is the implementation some important aspects of these guidelines into the current treatment and management of patients with diabetes mellitus and renal disease.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. W. Pommer und B. Oser geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik für Innere Medizin – Nephrologie/Geriatrie, Vivantes Humboldt-Klinikum, Am Nordgraben 2, 13509, Berlin, Deutschland

    W. Pommer

  2. KfH (Kuratorium für Dialyse und Nierentransplantation, e. V. gemeinnützig)-Nierenzentrum und Schwerpunktpraxis für Diabetologie und Nephrologie, Bernkastel-Kues, Deutschland

    B. Oser

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  1. W. Pommer
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Correspondence to W. Pommer.

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Pommer, W., Oser, B. Diabetespatienten mit chronischer Niereninsuffizienz. Diabetologe 10, 589–602 (2014). https://doi.org/10.1007/s11428-014-1274-9

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