Acute Kidney Injury in Diabetes Mellitus

Diabetes mellitus (DM) significantly increases the overall morbidity and mortality, particularly by elevating the cardiovascular risk. The kidneys are severely affected as well, partly as a result of intrarenal athero- and arteriosclerosis but also due to noninflammatory glomerular damage (diabetic...

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Main Authors: D. Patschan, G. A. Müller
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.1155/2016/6232909
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author D. Patschan
G. A. Müller
author_facet D. Patschan
G. A. Müller
author_sort D. Patschan
collection DOAJ
description Diabetes mellitus (DM) significantly increases the overall morbidity and mortality, particularly by elevating the cardiovascular risk. The kidneys are severely affected as well, partly as a result of intrarenal athero- and arteriosclerosis but also due to noninflammatory glomerular damage (diabetic nephropathy). DM is the most frequent cause of end-stage renal disease in our society. Acute kidney injury (AKI) remains a clinical and prognostic problem of fundamental importance since incidences have been increased in recent years while mortality has not substantially been improved. As a matter of fact, not many studies particularly addressed the topic “AKI in diabetes mellitus.” Aim of this article is to summarize AKI epidemiology and outcomes in DM and current recommendations on blood glucose control in the intensive care unit with regard to the risk for acquiring AKI, and finally several aspects related to postischemic microvasculopathy in AKI of diabetic patients shall be discussed. We intend to deal with this relevant topic, last but not least with regard to increasing incidences and prevalences of both disorders, AKI and DM.
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spelling doaj-art-f8504d53959b4723b3f3b72c5f02e4bd2025-02-03T06:12:53ZengWileyInternational Journal of Nephrology2090-214X2090-21582016-01-01201610.1155/2016/62329096232909Acute Kidney Injury in Diabetes MellitusD. Patschan0G. A. Müller1Clinic of Nephrology and Rheumatology, University Hospital of Göttingen, Göttingen, GermanyClinic of Nephrology and Rheumatology, University Hospital of Göttingen, Göttingen, GermanyDiabetes mellitus (DM) significantly increases the overall morbidity and mortality, particularly by elevating the cardiovascular risk. The kidneys are severely affected as well, partly as a result of intrarenal athero- and arteriosclerosis but also due to noninflammatory glomerular damage (diabetic nephropathy). DM is the most frequent cause of end-stage renal disease in our society. Acute kidney injury (AKI) remains a clinical and prognostic problem of fundamental importance since incidences have been increased in recent years while mortality has not substantially been improved. As a matter of fact, not many studies particularly addressed the topic “AKI in diabetes mellitus.” Aim of this article is to summarize AKI epidemiology and outcomes in DM and current recommendations on blood glucose control in the intensive care unit with regard to the risk for acquiring AKI, and finally several aspects related to postischemic microvasculopathy in AKI of diabetic patients shall be discussed. We intend to deal with this relevant topic, last but not least with regard to increasing incidences and prevalences of both disorders, AKI and DM.http://dx.doi.org/10.1155/2016/6232909
spellingShingle D. Patschan
G. A. Müller
Acute Kidney Injury in Diabetes Mellitus
International Journal of Nephrology
title Acute Kidney Injury in Diabetes Mellitus
title_full Acute Kidney Injury in Diabetes Mellitus
title_fullStr Acute Kidney Injury in Diabetes Mellitus
title_full_unstemmed Acute Kidney Injury in Diabetes Mellitus
title_short Acute Kidney Injury in Diabetes Mellitus
title_sort acute kidney injury in diabetes mellitus
url http://dx.doi.org/10.1155/2016/6232909
work_keys_str_mv AT dpatschan acutekidneyinjuryindiabetesmellitus
AT gamuller acutekidneyinjuryindiabetesmellitus