Skill Checkup: A 64-Year-Old Man With Type 2 Diabetes, Dyspnea, Pruritus, and Pitting Edema of the Bilateral Extremities

Anne L. Peters, MD; Pradeep Arora, MD


December 20, 2022

According to the 2020 Kidney Disease Improving Global Outcomes (KDIGO) Diabetes Management in CKD Guideline, patients with diabetes and nephropathy not receiving dialysis should have an A1c of < 6.5% to < 8%, depending on patient factors. However, the A1C level is an unreliable measure in people with CKD; it can be falsely high or low. Therefore, it is best to follow this patient using blood glucose monitoring or continuous glucose monitoring.


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