Visualization of Blood Glucose Fluctuations Using Continuous Glucose Monitoring in Patients Undergoing Hemodialysis

摘要

Although appropriate glycemic control without hypoglycemia is required during the treatment of diabetes, the presence of advanced diabetic kidney disease (DKD) accompanied by renal insufficiency (RI) interrupts the usual intervention.1The impairment of renal gluconeogenesis and insulin clearance in DKD may render patients susceptible to hypoglycemia. At the same time, most oral antidiabetic drugs (OADs) (including sulfonylureas) are contraindicated or restricted, since advanced DKD brings about profound pharmacokinetic abnormalities.