Kidney Failure From Diabetes Decreasing Across US Interview with:
Nilka Ríos Burrows, MPH, MT (ASCP)
Lead, Chronic Kidney Disease Initiative
CDC Division of Diabetes Translation. What is the background for this study? What are the main findings?

Response: Kidney failure treated with dialysis or a kidney transplant is called end-stage renal disease (ESRD).  ESRD is a costly and disabling condition often resulting in premature death.

During 2000–2014, kidney failure from diabetes among U.S. adults with diabetes decreased by 33%, and it declined significantly in most states, the District of Columbia, and Puerto Rico. No state experienced an increase in kidney failure from diabetes. Continued awareness and interventions to reduce risk factors for kidney failure, improve diabetes care, and prevent type 2 diabetes might sustain these positive trends. What should clinicians and patients take away from your report?

Response: Most people with kidney disease are unaware of their condition. Diabetes and high blood pressure are major risk factors for kidney disease and kidney failure. Early detection and better management of kidney disease in people with diabetes can slow its progression to kidney failure and improve health outcomes. In adults with diabetes, effective interventions to improve blood sugar and blood pressure control might prevent or delay the onset of kidney disease. What recommendations do you have for future research as a result of this study?

Response: Continued disease surveillance will help public health officials monitor trends and assess progress in reducing kidney failure from diabetes, its major risk factor, and assist in evaluating the effectiveness of ongoing and future prevention strategies. Thank you for your contribution to the community.


MMWR Morb Mortal Wkly Rep. 2017 Nov 3;66(43):1165-1170. doi: 10.15585/mmwr.mm6643a2.

Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes – United States and Puerto Rico, 2000-2014.

Burrows NR1, Hora I1, Geiss LS1, Gregg EW1, Albright A1.

Note: Content is Not intended as medical advice. Please consult your health care provider regarding your specific medical condition and questions. 

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Last Updated on November 8, 2017 by Marie Benz MD FAAD