There are many causes: on the one hand, the longer life expectancy and the growing number of patients with diabetes certainly contribute to the higher number of dialysis patients. On the other hand, the risk of developing diabetes-associated kidney disease was certainly underestimated.
Ten or 15 years ago, diabetic nephropathy was viewed almost exclusively as a complication of Type 1 diabetes. Today, we know that patients with Type 2 diabetes, who are far more numerous, face the same risk of suffering kidney failure. Now, most patients who develop kidney damage and need to undergo dialysis have Type 2 diabetes.
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