Diabetic Kidney Disease: Preventing Dialysis and Transplantation

  1. Nicholas Robert Loon, MB, BCh, BAO

    Abstract

    In Brief

    Diabetic nephropathy, characterized by proteinuria and progressive kidney failure, occurs more frequently when uncontrolled hyperglycemia and hypertension are present. Exaggerated cardiovascular risk is present in these patients, and early detection and treatment are imperative. Successful prevention and treatment are available, primarily based on aggressive blood glucose and blood pressure control.

    Footnotes

    • Nicholas Robert Loon, MB, BCh, BAO, is medical director of Fresenius Medical Care of Hilton Head and a board-certified private practitioner in internal medicine, nephrology, and endocrinology/metabolism on Hilton Head Island, S.C.

    • Note of disclosure: Dr. Loon has received honoraria for speaking engagements from GlaxoSmithKline, Merck and Co., and Bristol-Myers Squibb, all of which manufacture medications for the treatment of hypertension or nephropathy.

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