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Continuous glucose monitoring in an end‐stage renal disease patient with diabetes receiving hemodialysis
Author(s) -
Narasaki Yoko,
Park Elisa,
You Amy S.,
Daza Andrea,
Peralta Rene Amel,
Guerrero Yalitzi,
Novoa Alejandra,
Amin Alpesh N.,
Nguyen Danh V.,
Price David,
KalantarZadeh Kamyar,
Rhee Connie M.
Publication year - 2021
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.13009
Subject(s) - medicine , glycemic , hypoglycemia , glycated hemoglobin , diabetes mellitus , end stage renal disease , intensive care medicine , fructosamine , hemodialysis , dialysis , peritoneal dialysis , kidney disease , type 2 diabetes , endocrinology
Diabetes is the leading cause of end‐stage renal disease (ESRD) and contributes to heightened morbidity and mortality in dialysis patients. Given that ESRD patients are susceptible to hypoglycemia and hyperglycemia via multiple pathways, adequate glycemic monitoring and control is a cornerstone in diabetic kidney disease management. In ESRD, existing glycemic metrics such as glycated hemoglobin, self‐monitored blood glucose, fructosamine, and glycated albumin have limitations in accuracy, convenience, and accessibility. In contrast, continuous glucose monitoring (CGM) provides automated, less invasive glucose measurements and more comprehensive glycemic data versus conventional metrics. Here, we report a 48‐year‐old male with ESRD due to diabetes receiving thrice‐weekly hemodialysis who experienced decreased patient‐burden, greater glucose monitoring adherence, improved glycemic parameters, and reduction in hypoglycemia after transitioning to CGM. Through this case, we discuss how CGM is a practical, convenient patient‐centered tool that may improve metabolic outcomes and quality of life in ESRD patients with diabetes.