Elsevier

Kidney International

Volume 98, Issue 4, October 2020, Pages 839-848
Kidney International

KDIGO Executive Conclusions
Executive summary of the 2020 KDIGO Diabetes Management in CKD Guideline: evidence-based advances in monitoring and treatment

https://doi.org/10.1016/j.kint.2020.06.024Get rights and content
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open access

The Kidney Disease: Improving Global Outcomes (KDIGO) Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease represents the first KDIGO guideline on this subject. The guideline comes at a time when advances in diabetes technology and therapeutics offer new options to manage the large population of patients with diabetes and chronic kidney disease (CKD) at high risk of poor health outcomes. An enlarging base of high-quality evidence from randomized clinical trials is available to evaluate important new treatments offering organ protection, such as sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists. The goal of the new guideline is to provide evidence-based recommendations to optimize the clinical care of people with diabetes and CKD by integrating new options with existing management strategies. In addition, the guideline contains practice points to facilitate implementation when insufficient data are available to make well-justified recommendations or when additional guidance may be useful for clinical application. The guideline covers comprehensive care of patients with diabetes and CKD, glycemic monitoring and targets, lifestyle interventions, antihyperglycemic therapies, and self-management and health systems approaches to management of patients with diabetes and CKD.

Keywords

angiotensin-convering enzyme inhibitor
angiotensin II receptor blocker
chronic kidney disease
dialysis
evidence-based
GLP-1 receptor agonist
glycemia
glycemic monitoring
glycemic targets
guideline
HbA1c
hemodialysis
KDIGO
lifestyle
metformin
models of care
nutrition
renin-angiotensin system
self-management
SGLT2 inhibitor
systematic review
team-based care

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The complete KDIGO Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease is published in Kidney International, volume 98, issue 4S, October 2020, which is available online at www.kidney-international.org.