Conclusions: Sleep apnea is common in patients with CKD and increases as kidney function declines. Almost 50% of patients with CKD and ESRD experience nocturnal hypoxia, which may contribute to loss of kidney function and increased cardiovascular risk.
via Declining Kidney Function Increases the Prevalence of Sleep Apnea and Nocturnal Hypoxia.
In a large cohort study, patients with only CKD had a significantly higher rate of myocardial infarction (MI) than those who only had diabetes (5.4 versus 6.9 per 1,000 person-years, P
Those who’d already had an MI had the highest overall rate of MI (18.5 per 1,000 person-years), they reported online in The Lancet.
More than 40% of people with undiagnosed diabetes had chronic kidney disease, based on albuminuria or reduced estimated glomerular filtration rate (eGFR) — just as many as in those with diagnosed diabetes, according to Laura C. Plantinga, ScM, of San Francisco General Hospital and University of California San Francisco, and colleagues.
Notably, 56.2% of chronic kidney disease was stage 3 or 4 among those with prediabetes, indicated by a fasting plasma glucose between 100 and 126 mg/dl, and for whom kidney dysfunction was likely unsuspected.
Implications of CKD for Patients with CAD
The nearly 50% case fatality rate at one year caught my eye.
National Kidney Month and World Kidney Day
Did you know that March is National Kidney Month?
Neither did I.
The more we know, the less we know. The study population is small, but the findings merit our collective attention. Think about these things the next time you are considering credits for the absence of retinopathy and/or albuminuria in a diabetic applicant.
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