18 Jun 2024 • Individuals with type 2 diabetes who experience incident heart failure are at high risk for the progression to end-stage kidney disease (ESKD).

• A study followed 1985 outpatients with type 2 diabetes for a median of 8.6 years and found that 21% of ESKD events occurred after incident heart failure.

• Participants who progressed to ESKD after heart failure were younger, had higher HbA1c levels, and had a higher urine albumin-to-creatinine ratio at baseline. The risk of ESKD was highest immediately after heart failure occurrence and persisted for two years.

• Also, the risk for ESKD was high in heart failure with preserved ejection fraction (adjusted HR 13.7) compared to those with reduced ejection fraction (adjusted HR 6.5).

It is important to closely monitor kidney function after heart failure, particularly in the first two years after diagnosis. 

Source:Cardiovascular Diabetology| Read full story