DETECTION AND MANAGEMENT OF EARLY DIABETIC NEPHROPATHY

被引:1
作者
CRANDALL, JP [1 ]
APPEL, GB [1 ]
机构
[1] COLUMBIA UNIV COLL PHYS & SURG,DEPT MED,DIV NEPHROL,NEW YORK,NY 10032
关键词
D O I
10.1016/1043-2760(93)90127-Z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
It has proven difficult to alter the progression of diabetic nephropathy once overt proteinuria is established. The presence of microalbuminuria reflects an early renal lesion that may be more amenable to therapeutic intervention. Dietary protein restriction, improved glycemic control, and aggressive treatment of high blood pressure all have shown beneficial effects in some patients. Angiotensin-converting enzyme inhibitor therapy may offer specific advantages in terms of its renal protective effects.
引用
收藏
页码:232 / 237
页数:6
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