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Secondary hyperparathyroidism is a common complication of the chronic kidney disease (CKD). The most frequent consequence of HTP2 is bone disease, but it is worth mentioning that elevated levels of PTH correlated directly with extra bone diseases. In diabetic patients and kidney disease, a follow-up and control should be performed to avoid complications of the phosphocalcic metabolism and reduce the risk of anemia and cardiovascular disease. The ionic mo- vements can be observed at early stages of the CKD. Calcium, phosphorus, PTH, FAL and vitamin D measurements are recommended with a GF <60ml/min and supplement with vitamin D if values are <30 ng/dl.