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Alberto Carlos Reino: Diabetes and the Hidden Cardiovascular–Renal Reality
Mar 4, 2026, 13:59

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.

Alberto Carlos Reino: Diabetes and the Hidden Cardiovascular–Renal Reality

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