Diseases & Health Conditions, Health CareOctober 11, 2007 7:27 am
What is diabetic nephropathy?
Diabetic nephropathy is the kidney disease that occurs as a result of diabetes. This is more likely to occur if the blood sugar is poorly controlled.
Diabetic nephropathy is the kidney disease that occurs as a result of diabetes. This is more likely to occur if the blood sugar is poorly controlled.
Do all diabetics develop nephropathy?
The overall risk of developing diabetic nephropathy varies between about 10% of type II diabetics to about 30% of type I diabetics and some are:
The overall risk of developing diabetic nephropathy varies between about 10% of type II diabetics to about 30% of type I diabetics and some are:
- Blood sugar control is poor
- High blood pressure
- Smoking
- Relatives have had kidney disease or high blood pressure
- No proteinuria
- Aim under 130/80mmHg (120/70mmHg in type I diabetes).
- Aim HbA1c under 7%
- Dietary advice for sugar and fat
- STOP SMOKING
- Microalbuminuria & Proteinuria
- Aim BP <125/75mmHg
- Add further blood pressure lowering drugs if needed. Add ACEi/ARBif possible.
- Aim total cholesterol under 3.5mmol/l
- Add ACE inhibitor if possible
- Declining kidney function
- Prepare for dialysis and/or transplantation
Additional Info: wikipedia
Diabetic nephropathy (nephropatia diabetica), also known as Kimmelstiel-Wilson syndrome and intercapillary glomerulonephritis, is a progressive kidney disease caused by angiopathy of capillaries in the kidney glomeruli. It is characterized by nephrotic syndrome and nodular glomerulosclerosis. It is due to longstanding diabetes mellitus, and is a prime cause for dialysis in many Western countries.
Key points:
Inspect your feet daily and clean
Control your blood sugar, blood pressure
and cholesterol levels.
