6 voces en 10 minutos: Insuficiencia renal

6 voices in 10 minutes:  Update on chronic complications Kidney failure Diabetes mellitus (DM) is the leading cause of chronic kidney disease (CKD). About 20-40% of patients with DM develop kidney disease due to this metabolic disorder, which increases the cardiovascular risk and can progress to a stage that requires dialysis or kidney transplantation. CKD typically develops after diabetes duration of 10 years in T1D patients and it is present in around 3% of T2D patients at diagnosis.  CKD is defined as the presence of elevated urinary albumin excretion (urinary albumin/creatinine ratio -ACR ≥30 mg/g-) and estimated glomerular filtration rate (eGFR) of 30 mg/g and/or an eGFR <60 ml/min/1.73 m2 should be monitored twice annually to guide therapy.