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Chapter-10 Diabetic Nephropathy

BOOK TITLE: Clinical Focus Series: Diabetes Mellitus

Author
1. Kher Vijay
2. Kher Ajay
ISBN
9789352701803
DOI
10.5005/jp/books/18021_11
Edition
1/e
Publishing Year
2018
Pages
9
Author Affiliations
1. Medanta Kidney and Urology, Institute, Gurgaon, Haryana, India, Fortis Hospitals, Sector B, Pocket 1, Aruna Asaf Ali Marg, New Delhi, Indraprastha Apollo Hospital, New Delhi, India, E-mail:vkher@del3.vsnl.net.in, vkher@vsnl.com, Medanta Kidney and Urology Institute, Medanta–The Medicity, Gurgaon, Haryana, India, Medanta Kidney and Urology Institute, Medanta—The Medicity, Gurgaon, Haryana, India, Fortis Escorts Hospital, New Delhi, India, Kidney and Urology Institute, Fortis Escorts Hospital, New Delhi, India, Medanta Kidney and Urology Institute Medanta—The Medicity Gurugram, Haryana, India, Medanta Kidney and Urology Institute, Medanta–The Medicity, Gurugram, Haryana, India, Transplant Medicine, Medanta Kidney and Urology Institute, Medanta – The Medicity, Gurugram, Haryana, India
2. Fortis Escorts Hospital, New Delhi, India
Chapter keywords
Diabetic nephropathy, diabetes, tight glycemic control, blood pressure control, angiotensin converting enzyme inhibitor, ACEI, angiotensin II receptor blocker, ARB, kidney transplantation

Abstract

Diabetic nephropathy is a common complication of diabetes and is associated with significant morbidity and mortality. The incidence and clinical course of diabetic nephropathy has been elucidated from studies before current evidence of impact of tight glycemic control, blood pressure control, and angiotensin converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB). This chapter covers the incidence of diabetic nephropathy, pathology of diabetic nephropathy, pathogenesis, and treatment. Diabetic nephropathy is a common complication of diabetes and is associated with increased mortality and morbidity. Treatment with intensive glycemic control, blood pressure control, and use of angiotensin inhibition have decreased its incidence and slowed its progression.

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