Post-transplantation diabetes: clinical challenges

Post-transplantation diabetes mellitus (PTDM) is a common complication seen after kidney transplantation and is associated with adverse outcomes. There is a lack of robust evidence-based medicine to guide clinical decision making in the prevention or management of PTDM. Despite the availability of professional society guidelines and expert consensus reports, this paucity of data translates into clinical challenges in day- to-day practice for transplant and diabetes professionals. In this article, four common clinical scenarios associated with PTDM are discussed which offer advice for bridging the gap between evidence- based guidelines and real-world practice.