Temporal trends in prevalence and disability of chronic kidney disease caused by specific etiologies: an analysis of the Global Burden of Disease Study 2019

Qing, Xin; Jiang, Junyi; Yuan, Chunlei; Xie, Kunke; Wang, Ke

doi:10.1007/s40620-024-01914-x

Cited by 2 publications

(1 citation statement)

References 53 publications

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“…The global prevalence of CKD, affecting approximately 700 million people worldwide, underscores the importance of understanding how Ramadan fasting impacts these patients [4]. Deciding to fast is a complex decision for individuals with CKD, involving a balance between fulfilling religious obligations and maintaining health.…”

Section: Introductionmentioning

confidence: 99%

Ramadan Fasting and Its Impact on Patients With Chronic Kidney Disease: Insights and Guidelines

Alobaidi

2024

Cureus

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Fasting during the month of Ramadan is a religious practice observed by millions of Muslims worldwide, including those with chronic kidney disease (CKD). This comprehensive review aims to reflect upon the impacts of Ramadan fasting on CKD patients, excluding those on renal replacement therapy, through an analysis of clinical trials, observational studies, and expert reviews from diverse geographic and methodological backgrounds. It addresses renal function stability, broader health considerations, hydration and electrolyte balance, individual variability in fasting responses, clinical and biochemical effects, nutritional considerations, and metabolic effects. This review reveals that, with appropriate monitoring, dietary management, and individualized care plans, many CKD patients can safely participate in Ramadan fasting without adversely affecting their renal function or overall health. It emphasizes the need for a multidisciplinary approach to patient education, pre-Ramadan assessment, and post-Ramadan follow-up. Furthermore, it highlights the importance of considering individual variability and comorbidities in fasting guidance and underscores the necessity of future research to develop robust, patient-centered fasting guidelines. This review aims to provide healthcare professionals with evidence-based recommendations to support CKD patients wishing to observe Ramadan fasting, ensuring patient safety and optimizing care outcomes.

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Section: Introductionmentioning

confidence: 99%

Ramadan Fasting and Its Impact on Patients With Chronic Kidney Disease: Insights and Guidelines

Alobaidi

2024

Cureus

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Management of diabetes in people with advanced chronic kidney disease

Chowdhury,

Mukuba,

Casabar

et al. 2024

Diabet Med

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Diabetes is the commonest cause of end stage kidney disease globally, accounting for almost 40% of new cases requiring renal replacement therapy. Management of diabetes in people with advanced kidney disease on renal replacement therapy is challenging due to some unique aspects of assessment and treatment in this group of patients. Standard glycaemic assessment using glycated haemoglobin may not be valid in such patients due to altered red blood cell turnover or iron/erythropoietin deficiency, leading to changed red blood cell longevity. Therefore, use of continuous glucose monitoring may be beneficial to enable more focussed glycaemic assessment and improved adjustment of therapy. People with advanced kidney disease may be at higher risk of hypoglycaemia due to a number of physiological mechanisms, and in addition, therapeutic options are limited in such patients due to lack of experience or license. Insulin therapy is the basis of treatment of people with diabetes with advanced kidney disease due to many other drugs classes being contraindicated. Targets for glycaemic control should be adjusted according to co‐morbidity and frailty, and continuous glucose monitoring should be used in people on dialysis to ensure low risk of hypoglycaemia. Post‐transplant diabetes is common amongst people undergoing solid organ transplantation and confers a greater risk of mortality and morbidity in kidney transplant recipients. It should be actively screened for and managed in the post‐transplant setting.

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Temporal trends in prevalence and disability of chronic kidney disease caused by specific etiologies: an analysis of the Global Burden of Disease Study 2019

Cited by 2 publications

References 53 publications

Ramadan Fasting and Its Impact on Patients With Chronic Kidney Disease: Insights and Guidelines

Ramadan Fasting and Its Impact on Patients With Chronic Kidney Disease: Insights and Guidelines

Management of diabetes in people with advanced chronic kidney disease

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