แปลบทความวิจัยRenal disease is a common and often severe complication of diabetes.45 Approximately 35% of patients with type 1 diabetes of 18 years’ duration will have signs of diabetic renal involvement.46 Up to 35% of new patients beginning dialysis therapy have type 2 diabetes.47 End-stage renal disease (ESRD) appears to be especially common among Hispanics, blacks, and Native Americans with diabetes.48 49 50 51 52 For patients with diabetes who are on renal dialysis, mortality rates probably exceed 20% per year.47 When diabetes is present, CVD is the leading cause of death among patients with ESRD.