Diabetic nephropathy secondary prevention: Difference between revisions
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==Secondary Prevention== | ==Secondary Prevention== | ||
Once diabetic nephropathy develops, secondary prevention to halt the progression of the disease is aimed at: | Once diabetic nephropathy develops, secondary prevention to halt the progression of the disease is aimed at: | ||
* | * The benefits of tight control of blood glucose levels are uncertain per a [[systematic review]] by the [[Cochrane Collaboration]]<ref name="pmid28594069">{{cite journal| author=Ruospo M, Saglimbene VM, Palmer SC, De Cosmo S, Pacilli A, Lamacchia O | display-authors=etal| title=Glucose targets for preventing diabetic kidney disease and its progression. | journal=Cochrane Database Syst Rev | year= 2017 | volume= 6 | issue= | pages= CD010137 | pmid=28594069 | doi=10.1002/14651858.CD010137.pub2 | pmc=6481869 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28594069 }} [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=&cmd=prlinks&id=29049766 Review in: Ann Intern Med. 2017 Oct 17;167(8):JC47] [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=&cmd=prlinks&id=29097446 Review in: Evid Based Med. 2017 Dec;22(6):219-220] </ref>. | ||
* Strict control of [[blood pressure]], as well as [[lipids]].<ref name="pmid26928912">{{cite journal |vauthors=Chamberlain JJ, Rhinehart AS, Shaefer CF, Neuman A |title=Diagnosis and Management of Diabetes: Synopsis of the 2016 American Diabetes Association Standards of Medical Care in Diabetes |journal=Ann. Intern. Med. |volume=164 |issue=8 |pages=542–52 |year=2016 |pmid=26928912 |doi=10.7326/M15-3016 |url=}}</ref> | |||
* In order to reduce the risks of kidney, eye and blood vessel damage in the body. It is also very important to control lipid levels, maintain a healthy weight, and engage in regular physical activity. | * In order to reduce the risks of kidney, eye and blood vessel damage in the body. It is also very important to control lipid levels, maintain a healthy weight, and engage in regular physical activity. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Once diabetic nephropathy develops, secondary prevention to halt the progression of the disease is aimed at strict control of blood pressure, blood glucose levels, as well as lipids.
Secondary Prevention
Once diabetic nephropathy develops, secondary prevention to halt the progression of the disease is aimed at:
- The benefits of tight control of blood glucose levels are uncertain per a systematic review by the Cochrane Collaboration[1].
- Strict control of blood pressure, as well as lipids.[2]
- In order to reduce the risks of kidney, eye and blood vessel damage in the body. It is also very important to control lipid levels, maintain a healthy weight, and engage in regular physical activity.
References
- ↑ Ruospo M, Saglimbene VM, Palmer SC, De Cosmo S, Pacilli A, Lamacchia O; et al. (2017). "Glucose targets for preventing diabetic kidney disease and its progression". Cochrane Database Syst Rev. 6: CD010137. doi:10.1002/14651858.CD010137.pub2. PMC 6481869. PMID 28594069. Review in: Ann Intern Med. 2017 Oct 17;167(8):JC47 Review in: Evid Based Med. 2017 Dec;22(6):219-220
- ↑ Chamberlain JJ, Rhinehart AS, Shaefer CF, Neuman A (2016). "Diagnosis and Management of Diabetes: Synopsis of the 2016 American Diabetes Association Standards of Medical Care in Diabetes". Ann. Intern. Med. 164 (8): 542–52. doi:10.7326/M15-3016. PMID 26928912.