Abstract

ARANGUREN, Florencia; CASTANO, Yanina; DE´MARZIANI, Guillermo  and  ELBERT, Alicia Ester. Recomendaciones para evaluar la tasa de filtrado glomerular menor de 60 ml/min/1,73 m² en pacientes con enfermedad renal y diabetes mellitus. Rev. Soc. Argent. Diabetes [online]. 2022, vol.56, suppl.1, pp.60-62. ISSN 0325-5247.

To diagnose,classify and stage diabetic kidney disease in patients with diabetes mellitus is a challenge in clinical practice for both primary care physicians and specialists because there is no method in clinical practice that evaluates accurately the glomerular filtration rate (GFR).

This challenge is due to difficulties in evaluating kidney function in stages of chronic kidney disease (CKD) below 60 ml/min/1.73m. corresponding to stages 3, 4 and 5 of the classification, because the available tools in clinical laboratories are of limited accuracy.

This work explores the conditions that an ideal marker should meet, the difficulties offered by the evaluation of serum creatinine, the measurement of the glomerular filtration rate (GFR) as well as the advantages and limitations of the recommendations of the use of formulas for its determination and the current algorithm to estimate renal function.

Conclusions: currently, despite the limitations, the use of formulas for the diagnosis of renal function is recommended, especially in GFR below 60 ml/min/1.73 m2. It is a challenge for the near future to develop better tools for the evaluation of TGF. Key words: renal function; glomerular filtration rate; creatinine; creatinine clearance.

Keywords : renal function; glomerular filtration rate; creatinine; creatinine clearance.

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