Dealing with diabetic nephropathy

A complication that can be avoided, detected, and treated

David S. H. Bell Dr Bell is professor of medicine and Dr Alele is clinical assistant professor, division of endocrinology and metabolism, department of medicine, University of Alabama School of Medicine, Birmingham.

, MB &

Jimmy Alele Dr Bell is professor of medicine and Dr Alele is clinical assistant professor, division of endocrinology and metabolism, department of medicine, University of Alabama School of Medicine, Birmingham.

, MD

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Once macroalbuminuria develops in patients with diabetes, renal function declines about 10% per year, ending in end-stage renal disease. Fortunately, several treatment methods, discussed by Drs Bell and Alele, are available to slow this decline and prolong the active life of the kidney. The authors also describe diagnosis of diabetic nephropathy, which has no clinical signs or symptoms in its early stages. With exacting and aggressive control of hypertension and glucose levels, microalbuminuria can be controlled so diabetic nephropathy is avoided or delayed.

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Dealing with diabetic nephropathy

A complication that can be avoided, detected, and treated

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A complication that can be avoided, detected, and treated

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