In conclusion, diabetic kidney failure is a common and growing problem in many transitional and disadvantaged populations throughout the world. Poverty and, paradoxically, the rapid emergence from poverty are, in part, responsible for the growing epidemic because these factors increase the risk of diabetes. Unfortunately, particularly in developing countries, the costs associated with management of diabetic kidney failure already far exceed the available resources. Accordingly, efforts should be directed toward reducing the number of people who reach kidney failure, through diabetes prevention and early screening and intervention in those who already have diabetes.

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