Designed and created by Guideline Central in participation with the Kidney Disease Improving Global Outcomes and National Kidney Foundation
Diabetes Management in Chronic Kidney Disease
Patient Guideline Summary
Publication Date: October 1, 2020
Last Updated: March 3, 2023
This patient summary means to discuss key recommendations from the Kidney Disease: Improving Global Outcomes (KDIGO) for diabetes management in chronic kidney disease. It is limited to adults 18 years of age and older and should not be used as a reference for children.
- Kidney disease is a common complication of long-term diabetes.
- We will use the abbreviation CKD throughout this summary to refer to chronic kidney disease.
- This patient summary focuses on comprehensive care of patients with diabetes and CKD, glycemic monitoring and targets, lifestyle interventions, antihyperglycemic therapies, and self-management and health systems approaches to the management of patients with diabetes and CKD.
- Your treatment team should include several specialists such as an endocrinologist, a nephrologist (for kidneys), a cardiologist, a nutritionist and yourself. Others may be added depending on your particular condition.
- Your participation, and hence your education in diabetes and kidney disease management, are critical to the best outcome.
- Your doctors will treat your blood pressure and diabetes with several medications.
- You will be encouraged to abstain from tobacco and to exercise regularly.
- Your nutritionist/dietician will help you plan a careful menu to help control your diabetes and blood pressure.
- The best blood test to monitor your blood sugar control is hemoglobin A1c (HbA1c).
- The recommended target HbA1c is between 6.5% and 8%.
- CKD: Chronic Kidney Disease
- HbA1C: Hemoglobin A1C
- KDIGO: Kidney Disease: Improving Global Outcomes
Kidney Disease: Improving Global Outcomes (KDIGO) Diabetes Work Group. KDIGO 2020 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease. Kidney Int. 2020 Oct;98(4S):S1-S115. doi: 10.1016/j.kint.2020.06.019. PMID: 32998798.
The information in this patient summary should not be used as a substitute for professional medical care or advice. Contact a health care provider if you have questions about your health.