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Diabetes Standards of Care and Resources for Clinicians and Educators

Kidney Care

Diabetes significantly increases the risk for kidney disease. Good control of blood pressure and blood glucose can help prevent or delay the onset of chronic kidney disease (CKD). Early detection, lifestyle modification, and interventions involving medications to protect the kidneys are important to slow the progression of CKD to kidney failure.

The incidence rates of end-stage renal disease (ESRD) among American Indian/Alaska Native (AI/AN) people with diabetes have historically been high. But these rates have decreased significantly over the past twenty years.1,2 Emphasis on improving CKD prevention, screening, monitoring, and treatment is critical for AI/AN people with diabetes to continue to lower rates of ESRD.3

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  1. Bullock A, Rios Burrows N, Narva AS, et al. Vital signs: Decrease in incidence of diabetes-related end-stage renal disease among American Indians/Alaska Natives—United States, 1996-2013. Exit Disclaimer: You Are Leaving  Morbidity and Mortality Weekly Report 2017;66(1):26-32. doi: 10.15585/mmwr.mm6601e1
  2. Rios Burrows N, Zhang Y, Hora I, et al. Sustained lower incidence of diabetes-related end-stage kidney disease among American Indians and Alaska Natives, blacks, and Hispanics in the U.S., 2000-2016. Exit Disclaimer: You Are Leaving  Diabetes Care 2020.
  3. Narva A. Population Health for CKD and Diabetes: Lessons from the Indian Health Service. Exit Disclaimer: You Are Leaving  Am J Kidney Dis. 2018 Mar; 71(3): 407–411. doi: 10.1053/j.ajkd.2017.09.017