Management of Diabetes Mellitus in Acute and Chronic Cardiorenal Syndromes

Cardiorenal syndrome affects a wide range of individuals, and diabetes mellitus is increasing in prevalence worldwide. Diabetes is a major cause of cardiovascular disease (CVD) and individuals with chronic kidney disease often die of CVD; it is the major cause of death in this population. The presence of albuminuria and declining glomerular filtration rate (GFR) are all known predictors of CVD. Once cardiorenal syndrome is identified, it is important to understand how diabetes medications need to be adjusted in accordance with a decline in GFR and how to avoid hypoglycemia. Control of risk factors for CVD is also important as is identifying when to utilize the appropriate specialists.