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An Ounce of Prevention

  1. Roger P. Austin, MS, RPh, CDE

    “An ounce of prevention is worth a pound of cure.”—Benjamin Franklin

    The theme of this issue's “From Research to Practice” section (p. 8–36) is diabetic kidney disease (DKD), a more definitive term than “diabetic nephropathy” for the coexistence of chronic kidney disease (CKD) and diabetes. This topic is of profound concern to all diabetes care providers.

    The global epidemic of type 2 diabetes has resulted in an alarming increase in the number of patients with CKD, which is now > 0 million people worldwide.1 A cross-sectional analysis of the National Health and Nutrition Examination Surveys (NHANES 1988–1994 and NHANES 1999–2004) was recently published in the Journal of the American Medical Association.2Analysis of the survey data indicates a high prevalence rate of CKD in the United States. Overall, the prevalence rate of CKD increased from 10.0% in the 1988–2004 period to 13.1% in the 1999–2004 period. This increased prevalence is explained in part by an increase in a number of CKD risk factors, which include an aging population and an increase in the proportion of people with …

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