The expert consensus on care and education for patients with diabetic kidney disease in Taiwan

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2024-02-29 DOI:10.1016/j.pcd.2024.02.003

Chih-Yao Hsu , Ching-Yuan Yeh , Tsung-Yi Yen , Ching-Chu Chen , Jung-Fu Chen , Chih-Hsun Chu , Chien-Ning Huang , Ching-Ling Lin , Shih-Yi Lin , Feng-Hsuan Liu , Horng-Yih Ou , Chih-Yuan Wang

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Abstract

Increasing prevalence of type 2 DM (T2DM) and diabetic kidney disease (DKD) has posed a great impact in Taiwan. However, guidelines focusing on multidisciplinary patient care and patient education remain scarce. By literature review and expert discussion, we propose a consensus on care and education for patients with DKD, including general principles, specifics for different stages of chronic kidney disease (CKD), and special populations. (i.e. young ages, patients with atherosclerotic cardiovascular disease or heart failure, patients after acute kidney injury, and kidney transplant recipients). Generally, we suggest performing multidisciplinary patient care and education in alignment with the government-led Diabetes Shared Care Network to improve the patients’ outcomes for all patients with DKD. Also, close monitoring of renal function with early intervention, control of comorbidities in early stages of CKD, and nutrition adjustment in advanced CKD should be emphasized.

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台湾糖尿病肾病患者护理与教育专家共识。

2 型糖尿病（T2DM）和糖尿病肾病（DKD）发病率的增加对台湾造成了巨大影响。然而，针对多学科患者护理和患者教育的指南仍然很少。通过文献回顾和专家讨论，我们提出了糖尿病肾脏病患者护理和教育的共识，包括一般原则、慢性肾脏病（CKD）不同阶段的具体情况以及特殊人群。(例如，年轻患者、动脉粥样硬化性心血管疾病或心力衰竭患者、急性肾损伤患者和肾移植受者）。一般来说，我们建议与政府主导的糖尿病共同护理网络保持一致，开展多学科患者护理和教育，以改善所有 DKD 患者的预后。此外，还应重视早期干预、密切监测肾功能、控制 CKD 早期的并发症以及 CKD 晚期的营养调整。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.