[Strategies to reduce the progression of renal disease in patients with type II diabetes mellitus].
The incidence of diabetes mellitus has increased dramatically in Puerto Rico. On 1996, it accounted for 56.8% of all new cases admitted for dialysis. By 1998 the number increased to 59.9%, of which, 88.5% were Type 2 diabetic patients. Strategies for the reduction or prevention of renal insufficiency of Type 2 diabetic patients should include: identification of potential chronic complications, review of risk factors related to diabetic nepropathy, and the evaluation of the arterial blood pressure and renal function. The therapeutic actions which have shown reduction of proteinuria and reduction of the progression to end stage renal disease in patients with type 2 diabetes are: strict control of the arterial pressure, the use of converting enzyme inhibitors, low salt diet and control of the protein intake. It is recommended that type 2 diabetic patients with high arterial pressure, micro or macroalbuminuria and increased serum creatinine should be referred to the nephrologist as early as possible.
Burgos Calderón
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Departamento de Medicina, Sección de Nefrología, Escuela de Medicina, Universidad de Puerto Rico, San Juan, Puerto Rico.
D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003928:Diabetic Nephropathies / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male