Abstract – Diabetic Kidney Disease

  • Diabetes is the most common cause of ESKD in Malaysia
  • Patients with Diabetic kidney disease (DKD) have a high burden of morbidity and mortality
  • Regular monitoring of kidney function and urinalysis is needed to detect diabetic kidney disease
  • DKD/CKD is associated with insulin resistance, decreased insulin degradation and oral anti-diabetic clearance; appropriate use of insulin/ oral anti-diabetic and careful monitoring can avoid adverse life threatening effects
  • Diabetes management in DKD/CKD patients necessitates a multifactorial approach