The Compatibility of the Treatment of Chronic Kidney Disease and Diabetes to the KDOQI-2012 Update Guideline

Abstract

Introduction: Diabetes mellitus (DM) and chronic kidney  disease (CKD) are global growing health problems that can be controlled and avoided. Co-occurrence of DM and CKD makes the treatment of both difficult. This study is conducted to evaluate whether the treatment goals for DM and CKD patients are achieved according to KDOQI-2012 guideline.
Materials and Methods: One-hundred sixty patients with stage 3-5 CKD and DM who had been followed in the nephrology department for at least 3 months enrolled. From the medical records of the patients the data about the compatibility with the treatment goals in KDOQI-2012 update guideline for treatment of hyperglycemia (HbA1c levels). hypertension and dyslipidemia were collected, retrospectively.
Results: Results are shown in Table 1 and 2. Number of patients that were compatible with the treatment goal for hyperglycemia (HbA1c level ~%7) was 94 (58.8%). No difference was seen between different stages of CKD. Sixty two patients (46.3%) reached the treatment goal for hypertension. The compliance rate decreased with the progression in CKD stages. It is recommended that patients with stage 3-5 CKD who are not on dialysis should take statin and the number of patients compatible with this was 54 (39.9%).
Conclusion: Compliance rates to the treatment goals in KDOQI-2012 guideline were still low and compliance rates to hypertension treatment target decreased as the CKD stages progressed. Worst compliance rate was observed in dyslipidemia treatment and it may be because of the negative perception about the dyslipidemia treatment.