Simultaneous Kidney Pancreas (SPK) transplant is the treatment of choice for patients with Type1DM(T1DM) and chronic kidney disease (CKD). C-peptide level is used to distinguish Type 1 vs Type 2 DM. Patients with Type2DM(T2DM) with CKD and detectable c-peptide level may behave like a T1DM and may benefit from an SPK.
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Aboukasm et al. (2024) studied this question.
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