BỆNH THẬN MẠN & ĐÁI THÁO ĐƯỜNG Từ Sinh lý bệnh đến Điều trị để Cải thiện Tiên lượng

BỆNH THẬN MẠN & ĐÁI THÁO ĐƯỜNG Từ Sinh lý bệnh đến Điều trị để Cải thiện Tiên lượng Prof Pham Van Bui Univ of Medicine Pham Ngoc Thach Nguyen Tri Phuong Hospital President, Society of the Nephrology-Dialysis Therapies Invited Professor, Liege Univ of Medicine, Belgium CKD-CVD-Diabetes Link: CKD is a Disease Multiplier WHICH PATIENTS NEED SOME RENOPROTECTION? Individuals already with impaired renal function (10ml/min/3yrs) - elevated albuminuria - other diabetic complications (e.g CVD, PVD, retinopathy) - poorly controlled BP - other risk factors (e.g Indigenous, FHx, etc) CHÍNHXÁC ANTỒN DỄSỬDỤNG KDIGO Clinical Practice Guideline on Diabetes Management in Chronic Kidney Disease OCT 2020 Kidney–Heart Risk Factor Management Practice Point 1.1.1 Patients with diabetes and CKD should be treated with a comprehensive strategy to reduce risks of kidney disease progression and CVD Chapter 1: Comprehensive care in patients with diabetes and CKD Practice Point 1.1.1: Patients with diabetes and chronic kidney disease (CKD) should be treated with a comprehensive strategy to reduce risks of kidney disease progression and cardiovascular disease KDIGO 2020/2022 KDIGO 2020 KDIGO 2022 Comprehensive AMAZING KIDNEYS !