[Diabetic nephropathy: strategies for prevention].
A cumulative incidence of diabetic nephropathy of 30-35% has been documented after duration of diabetes of at lest 25 years in type 1 diabetes mellitus and 15-25% in type 2 diabetes mellitus. Diabetic Nephropathy has become the leading cause of chronic renal failure. Several strategies has been suggested to prevent renal disease in patients with diabetes mellitus. Two main treatment strategies for primary prevention of diabetic nephropathy are improved glycaemic control and lowering the blood pressure particularly with angiotensing-converting-enzyme inhibitors. Other therapeutics include, lipid-lowering therapy, dietary protein restriction, smoking cessation and aspirin therapy.
Romero
R
R
Servicio de Nefrología, Unidad de Hipertensión Hospital Universitario Germans Trias i Pujol Universidad Autónoma de Barcelona Ctra. del Canyet, s/n. 08916 Badalona. rromero@ns.hugtip.scs.es
D003920:Diabetes Mellitus / Q000503:physiopathology / Q000517:prevention & control; D003928:Diabetic Nephropathies / Q000517:prevention & control*; D006801:Humans; D012307:Risk Factors