nidНефрология и диализNephrology and Dialysis1680-44222618-9801Российское диализное общество10.28996/2618-9801-2021-2suppl-9-121nid-251Research ArticleРЕКОМЕНДАЦИИRECOMMENDATIONSКлинические практические рекомендации KDIGO 2020 по тактике ведения диабета при хронической болезни почекKDIGO 2020 Clinical Practice Guideline for Diabetes Management in Chronic Kidney DiseaseСтатьяРедакционнаяArticleEditorialnoemail@neicon.ru202131072024232Приложение9121Copyright © Статья Р., 20242024Статья Р.Article E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephro.ru/jour/article/view/251

Клинические практические рекомендации Инициативы по улучшению глобальных исходов заболеваний почек/Kidney Disease: Improving Global Outcomes (KDIGO) по тактике ведения диабета при хронической болезни почек (ХБП) 2020 года представляют собой первое руководство KDIGO по данному вопросу. Сфера охвата включает такие темы, как всесторонняя помощь, мониторинг гликемии и целевые показатели, образ жизни и антигипергликемические препараты, а также подходы к самоконтролю и оптимальные модели лечения. Цель рекомендаций состоит в том, чтобы создать полезный ресурс для врачей и пациентов путем предоставления действенных рекомендаций с инфографикой, основанных на строгом формальном систематическом обзоре литературы. Другая цель состоит в том, чтобы предложить рекомендации по проведению исследований в областях, в которых имеются пробелы в знаниях. Руководство предназначено для широкой аудитории врачей, занимающихся лечением диабета и ХБП, принимая при этом в расчет значение для политики здравоохранения и затраты. Разработка данного руководства проводилась в рамках открытого процесса обзора и оценки доказательств. Подходы к лечению и рекомендации основаны на систематических обзорах соответствующих исследований, оценке качества доказательств и обоснованности рекомендаций в соответствии с системой классификации, оценки, разработки и экспертизы рекомендаций (шкала GRADE). В данных рекомендациях обсуждаются ограничения доказательств, а также представлены области для будущих исследований.

The Kidney Disease: Improving Global Outcomes (KDIGO) 2020 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease (CKD) represents the first KDIGO guideline on this subject. The scope includes topics such as comprehensive care, glycemic monitoring and targets, lifestyle and antihyperglycemic interventions, and approaches to self-management and optimal models of care. The goal of the guideline is to generate a useful resource for clinicians and patients by providing actionable recommendations with infographics based on a rigorous, formal systematic literature review. Another aim is to propose research recommendations for areas in which there are gaps in knowledge. The guideline targets a broad audience of clinicians treating diabetes and CKD while taking into account implications for policy and payment. The development of this guideline followed an explicit process of evidence review and appraisal. Treatment approaches and guideline recommendations are based on systematic reviews of relevant studies, appraisal of the quality of the evidence, and the strength of recommendations following the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Limitations of the evidence are discussed and areas for future research are presented.

агонист рецептора ГПП-1блокатор рецептора ангиотензина IIгемодиализгликемиядиализингибитор ангиотензинпревращающего ферментаингибиторы НГЛТ2командный подход к оказанию помощиметформинмодели оказания помощимониторинг гликемиинаучно обоснованный образ жизнипитаниеренин-ангиотензиновая системаруководствосамоконтрольсистематический обзорхроническая болезнь почекцелевые показатели гликемииHbA1cKDIGOangiotensin-converting enzyme inhibitorangiotensin II receptor blockerchronic kidney diseasedialysisevidence-basedGLP-1 receptor agonistglycemiaglycemic monitoringglycemic targetsguidelineHbA1chemodialysisKDIGOlifestylemetforminmodels of carenutritionrenin-angiotensin systemself-managementSGLT2 inhibitorsystematic reviewteam-based careReferencesArnett DK, Khera A, Blumenthal RS. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: part 1, lifestyle and behavioral factors. 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The authors declare that there are no conflicts of interest present.