U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Saturday, September 20, 2014

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


Quick Guide Cards

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Treating Complications

CKD Treating Complications video screenshot
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NOTE: Access to this information is not restricted; however, the information found here is intended for use by medical providers. Some videos contain graphic images. Patients should talk with their medical providers about any specific concerns.

 

Important Resources

  • Nephrology referral:
    • If unsure of cause of CKD (e.g., renal biopsy needed).
    • Difficulty controlling complications of CKD.
    • Usually once eGFR <30 mL/min/1.73 m2.
    • Rapid progression of CKD.
    • Plan for kidney replacement (transplant, dialysis):
      • Goal: start dialysis using mature fistula or graft.
  • Nutrition referral: protein, phosphorus, sodium, potassium.
  • Educate patient/family about CKD:
    • Progressive nature of CKD.
    • Eventual need for renal replacement therapy.
    • Protecting arm designated for fistula placement.
    • Dialysis options (hemo, peritoneal).
  • When eGFR <60 mL/min/1.73 m2: monitor/treat CKD complications (Type 2 DM and CKD Algorithm) [PDF - 229KB]:
    • Acidosis
    • Anemia
    • CVD
    • Fluid overload
    • Metabolic bone disease
    • Other
    Information on treating complications down arrow up arrow

Overview How To Other Resources
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Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov