Diabetes is the leading cause of end-stage renal disease (ESRD), accounting for 40-50% of all cases. Diabetic nephropathy occurs in up to 40% of patients with diabetes and is characterized by proteinuria and progressive kidney failure. Diabetic nephropathy occurs more frequently when uncontrolled hyperglycemia and hypertension are present and is a marker of heightened cardiovascular risk.
Intensive diabetes management focused on proper glucose control and lowering of hypertension has been shown to delay the onset of microalbuminuria and progression of nephropathy. As strategies to successfully prevent and treat nephropathy are available, early detection of the disease is warranted.
The American Diabetes Association presents "Prevention & Management of Chronic Kidney Disease in the Diabetes Patient" a two-part archived series consisting of discussions that could help you improve patient outcomes. The series features slide presentations and categorized questions and answers links.
Mark E. Molitch, MD
Professor of Medicine, Northwestern University
Feinberg School of Medicine, Chicago, IL
George L. Bakris, MD, FACP
Director,
Hypertension Center,
Endocrine Division University of Chicago School of Medicine
Chicago, IL
