BARBARA MCDOUGAL, M.D.
To the editor: In the "letter" by Matas and colleagues (1), the investigators did not mention a third possible, and perhaps more important, reason for the elevation in serum creatinine observed as blood glucose increased in diabetic posttransplant patients: relative volume depletion secondary to osmotic diuresis.
MCDOUGAL B. Hyperglycemia and Rise in Creatinine. Ann Intern Med. ;84:100–101. doi: 10.7326/0003-4819-84-1-100_2
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Published: Ann Intern Med. 1976;84(1):100-101.
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