Ertek Sibel, Caglar Kayser
Endocrinology and Metabolic Diseases Department, Losante Hospital, Ankara, Türkiye.
Nephrology Department, Losante Hospital, Ankara, Türkiye.
Front Clin Diabetes Healthc. 2025 Jul 11;6:1570868. doi: 10.3389/fcdhc.2025.1570868. eCollection 2025.
Diabetes mellitus is chronic disease with increasing prevalence, and may cause many organ complications, including kidneys. Reduced creatinine clearance and kidney failure are important, but hyperkalemia may be present in diabetic patients even before these problems. There may be many reasons of hyperkalemia in this group of patients. Type IV renal tubular acidosis is important cause of generally mild hyperkalemia, and it is a treatable condition. ''Polypharmacy'' -which is very common in diabetic patients due to accompanying other diseases- may trigger electrolyte imbalance. Underlying causes should be investigated and treatment should be done before it worsens.
糖尿病是一种患病率不断上升的慢性疾病，可能会引发包括肾脏在内的许多器官并发症。肌酐清除率降低和肾衰竭很重要，但糖尿病患者甚至在出现这些问题之前就可能存在高钾血症。这组患者出现高钾血症的原因可能有很多。IV型肾小管酸中毒是导致一般轻度高钾血症的重要原因，且是一种可治疗的病症。“多重用药”——由于合并其他疾病，在糖尿病患者中非常常见——可能引发电解质失衡。应调查潜在病因并在病情恶化前进行治疗。
