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Glory Coppe
Diabetes Mellitus (DM) is an alarming presumptive diagnosis of chronic kidney disease (CKD) progressing to endstage renal damage (ESRD). Diabetes at a young age strongly inspires the appearance of extraordinary cardiovascular risk factors and the initial evolution of diabetic micro and macro angiopathies. The potential contributor of hyperglycemia in the hemodynamic derangements complicating the natural course of diabetes with susceptible silent symptoms is extremely provoking of chronic heart failure and myocardial infarction through the hidden pathophysiological processes.