期刊
NEPHROLOGY DIALYSIS TRANSPLANTATION
卷 29, 期 12, 页码 2167-2177出版社
OXFORD UNIV PRESS
DOI: 10.1093/ndt/gfu006
关键词
diabetes; chronic kidney disease; glycaemic control; guideline
Although measurement of haemoglobin A1c has become the cornerstone for diagnosing diabetes mellitus in routine clinical practice, the role of this biomarker in reflecting long-term glycaemic control in patients with chronic kidney disease has been questioned. Consensus review paper based on narrative literature review. As a different association between glycaemic control and morbidity/mortality might be observed in patients with and without renal insufficiency, the European Renal Best Practice, the official guideline body of the European Renal Association-European Dialysis and Transplant Association, presents the current knowledge and evidence of the use of alternative glycaemic markers (glycated albumin, fructosamine, 1,5-anhydroglucitol and continuous glucose monitoring). Although reference values of HbA1C might be different in patients with chronic kidney disease, it still remains the cornerstone as follow-up of longer term glycaemic control, as most clinical trials have used it as reference.
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