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Fiji’s rising tide: the growing burden of diabetic kidney disease on emerging nephrology services

A growing burden of diabetic kidney disease in Fiji threatens to overwhelm newly established nephrology services. Greater attention to early detection and intervention, incorporation of kidney health into national strategic plans, and international support to prioritize chronic kidney disease as a global priority is imperative.

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References

  1. Burkhart, S. et al. The role of diets and food systems in the prevention of obesity and non-communicable diseases in Fiji – gathering evidence and supporting multi-stakeholder engagement (Food and Agriculture Organization of the United Nations, 2021).

  2. International Diabetes Federation. IDF Diabetes Atlas 10th edn https://www.diabetesatlas.org (2021).

  3. Krishnan, A. et al. End-stage kidney disease in Fiji. Intern. Med. J. 49, 461–466 (2019).

    Article  PubMed  Google Scholar 

  4. Khan, S. et al. Patterns and risk factors associated with index lower extremity amputations (LEA) among type 2 diabetes mellitus (T2DM) patients in Fiji. Prim. Care Diabetes 15, 1012–1018 (2021).

    Article  PubMed  Google Scholar 

  5. Zibran, M. A. & Mohammadnezhad, M. Determinants of knowledge, attitude and practice in patients with both type 2 diabetes and chronic kidney disease in Fiji. F1000 Res. 8, 239 (2019).

    Article  Google Scholar 

  6. Ta’eed, A. et al. Chronic kidney disease management in Fiji primary care. https://www.health.gov.fj/moh-standard-treatment-guidelines/ (2022, accessed 26 February 2025).

  7. Francis, A. et al. Chronic kidney disease and the global public health agenda: an international consensus. Nat. Rev. Nephrol. 20, 473–485 (2024).

    Article  PubMed  Google Scholar 

  8. International Society of Nephrology. Petition to urge global leaders to make kidney health a priority. https://www.theisn.org/in-action/advocacy/petition/ (accessed 19 November 2024).

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Correspondence to Anis Ta’eed.

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Ta’eed, A., Raj, A., Chandra, Y. et al. Fiji’s rising tide: the growing burden of diabetic kidney disease on emerging nephrology services. Nat Rev Nephrol 21, 279–280 (2025). https://doi.org/10.1038/s41581-025-00942-5

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