Screening and Management of Diabetic Nephropathy.

Yoon,  Ji Sung

doi:2013.14.1.19

J Korean Diabetes > Volume 14(1); 2013 > Article

Focused Issue

The Journal of Korean Diabetes 2013;14(1):19-22.
DOI: https://doi.org/10.4093/jkd.2013.14.1.19 Published online March 31, 2013.

당뇨병성 신증의 진단 및 치료

윤지성

Screening and Management of Diabetic Nephropathy.

Ji Sung Yoon

Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. jsyoon9@ynu.ac.kr

Abstract

Early intervention in patients with diabetes may slow the progression of kidney disease, and early recognition of renal impairment is critical in order to achieve optimal patient outcomes. Annual screening for the presence of albuminuria is recommended in type 1 diabetic patients with diabetes duration of > or = 5 years and in all type 2 diabetic patients. But, due to the inadequacies of albuminuria screening, serum creatinine and estimated glomerular filtration rate (GFR) should be evaluated at least annually in all adults with diabetes regardless of urine albumin excretion levels. Once diabetic nephropathy is detected, optimal management focused on multiple risk factor interventions should be accompanied. Currently, there are tremendous ongoing efforts to identify better markers for early diagnosis of diabetic nephropathy, and to develop better therapeutic approaches.

Key Words: Diabetic nephropathies, Diagnosis, Disease management