Diabetic nephropathy is one of the most common causes of renal insufficiency. The pathogenesis of carbohydrate metabolism disorders is multifactorial in chronic renal failure and is difficult to detect in practice.
Both insulin resistance and the tendency to hypoglycemia play a role here. Often the only treatment is increased glycemic control, the use of appropriate types of insulins that lead to satisfactory metabolic compensation, which is the basic prevention of organ complications of diabetes mellitus.