Diabetes and chronic kidney disease: a complex combination

British Journal of Nursing : BJN
Karen Marchant

Abstract

Diabetes and chronic kidney disease (CKD) are two disease processes that remain with patients from diagnosis to the end of their lives. Both are destructive conditions that must be diagnosed early to prevent longer-term complications, such as retinopathy and neuropathy. Diabetes remains the single most important cause of kidney failure. Diabetes in hospital accounts for 10% of all admissions, but this figure is much higher within renal medicine with diabetes significantly increasing length of stay, with excess bed days suggested at 20%. Inpatient care is currently the largest single component of medical costs for diabetes, while diabetes costs 10% of the NHS budget. The number of patients with both diabetes and CKD are increasing, and to help slow down the progression to complications patients must receive education on how to control their diabetes. Training packages are designed to facilitate this educational process but the NHS needs to invest in refresher courses as the educational structure needs to support lifetime learning. It is vital from first referral that all patients lead in the decisions made about their health. Healthcare professionals have a duty of care to ensure patients are given clear, concise and accurate in...Continue Reading

References

Feb 4, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Ralf SchielGünter Stein

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Citations

Mar 24, 2009·Biochemical and Biophysical Research Communications·Yanling Zhang, Qingxian Zhang
Mar 7, 2014·American Journal of Hypertension·Md Abdul Hye KhanJohn D Imig
Jan 8, 2016·The American Journal of Clinical Nutrition·Luc DjousséJ Michael Gaziano
Dec 20, 2012·Experimental and Therapeutic Medicine·Qiang PengXiaoshu Cheng
Oct 13, 2011·Journal of Medical Economics·Charles PiwkoPhil A McFarlane
May 2, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Luc DjousséJoAnn E Manson

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