{"doi":"10.17615/52t5-er46","title":"Antihyperglycemic Medication Use Among U.S. Adults With Hemodialysis-Dependent Kidney Disease and Comorbid Diabetes","abstract":"The 558,000 individuals in the U.S. receiving maintenance dialysis experience tremendous mortality, with a median survival of ∼48 months. Comorbid diabetes is present in >60% of incident cases of dialysis-dependent kidney failure and is associated with higher mortality rates, primarily driven by cardiovascular causes. Renal impairment limits the use of many antihyperglycemic agents, rendering insulin the mainstay diabetes treatment for most patients receiving dialysis. However, insulin-induced hypoglycemia is common due to autonomic neuropathy, hypoglycemia unawareness, and impaired renal gluconeogenesis (3). Management of glycemia is therefore challenging, and frequent oscillations between hyper- and hypoglycemia contribute to poor cardiovascular outcomes in patients with dialysis-dependent kidney failure.","journal":"UNC Libraries","year":2024,"id":499125,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9522,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":243737,"name":"Magdalene M. Assimon","orcid":null,"position":1,"is_corresponding":false},{"id":1347006,"name":"K.R. Klein","orcid":null,"position":2,"is_corresponding":false},{"id":34495,"name":"John B. Buse","orcid":"0000-0002-9723-3876","position":3,"is_corresponding":false},{"id":426828,"name":"Til Stürmer‎","orcid":"0000-0002-9204-7177","position":4,"is_corresponding":false},{"id":241192,"name":"Jennifer E. Flythe","orcid":"0000-0003-4596-8536","position":5,"is_corresponding":false},{"id":547356,"name":"V. Pate","orcid":null,"position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-19T02:09:45.971055Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}