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The standard measurement of control and follow-up in patients with diabetes, the glycosylated hemoglobin (HbA1C), present difficulties in renal insufficiency, in which it may not be a good indicator of glycemia monitoring. Fructosamine is not valid when albumin is less than 3 mg/dl, whereas glucosuria and cetonuria are not effective measurement tools in the kidney disease. The individualized self-monitoring of blood glucose (SMBG) is a useful method in all kidney stages and of greater value in the control and follow-up in advanced renal insufficiency, and alternative kidney treatments.

revista de la sociedad argentina de diabetes

MANEJO DEL CONTROL GLUCÉMICO: OBJETIVOS DE TRATAMIENTO Y MÉTODOS. HEMOGLOBINA GLICOSILADA A1C (HBA1C). FRUCTOSAMINA. AUTOMONITOREO GLUCÉMICO. GLUCOSURIA. CETONURIA