Diabetes is a key risk factor for chronic kidney disease,1 and patients with type 2 diabetes and coronary artery disease are at high risk of cardiovascular events particularly when renal function is impaired.2-4 Decision on how and when to proceed to coronary revascularization in an individual type 2 diabetic patient should be based on the extent of coronary disease,ischemic burden, ventricular function, as well as co-morbidities (e.g., renal insufficiency).