Alberto Carlos Reino: Diabetes and the Hidden Cardiovascular–Renal Reality
Alberto Carlos Reino, Nephrologist at Nefron SAS, Co-Founder and CMO, Functional Nephrologist at Nephrohealth KA, shared a post on LinkedIn about a recent article by José Luis Górriz and Juan F. Navarro-González published in NephSAP:
“Diabetes and the Hidden Cardiovascular–Renal Reality
In 2021, an estimated 537 million people worldwide were living with diabetes.
- 95% have Type 2 diabetes
- 5% have Type 1 diabetes
But the real concern lies beyond glucose levels.
Diabetic Kidney Disease (DKD) develops in:
- Approximately 40% of people with Type 2 diabetes
- Approximately 30% of people with Type 1 diabetes
Diabetes now accounts for half of all chronic kidney disease (CKD) cases globally.
Yet the most striking fact is this:
90% of patients with DKD do not reach kidney failure.
They die earlier — primarily from:
- Heart failure
- Atherosclerotic cardiovascular disease
Only 10% survive long enough to require dialysis or transplantation.
Clinical implication
DKD is not just a renal disease.
It is a cardio-renal syndrome with high mortality.
Managing diabetic kidney disease means:
- Early screening (albuminuria and eGFR)
- Aggressive cardiovascular risk reduction
- RAAS blockade, SGLT2 inhibitors, GLP-1 receptor agonists when indicated
- Multidisciplinary care
The real endpoint is not dialysis.
It is cardiovascular survival.”
Title: Diabetic Kidney Disease
Authors: José Luis Górriz, Juan F. Navarro-González
Read the Full Article on NephSAP.
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