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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Cite this: Anne L. Peters, Pradeep Arora. Skill Checkup: A 64-Year-Old Man With Type 2 Diabetes, Dyspnea, Pruritus, and Pitting Edema of the Bilateral Extremities - Medscape - Dec 20, 2022.