Management of glycemia in patients with diabetes mellitus and CKD.

  title={Management of glycemia in patients with diabetes mellitus and CKD.},
  author={Noah D Lubowsky and Richard D. Siegel and Anastassios G. Pittas},
  journal={American journal of kidney diseases : the official journal of the National Kidney Foundation},
  volume={50 5},
A 57-year-old white man with hypertension, hypercholesterlemia, and a 12-year history of type 2 diabetes mellitus eturned for follow-up. He was found to have microalbuminria 4 years ago, presumed secondary to diabetes. He proressed to stage 2 chronic kidney disease (CKD) 2 years ago. e feels well except for 2 episodes of hypoglycemia in the last onth. He denies symptoms of neuropathy, and a dilated-eye xamination 3 months ago did not show retinopathy. He is dministered simvastatin, 20 mg/d… CONTINUE READING