Diabetic nephropathy Flashcards
1
Q
Diabetic nephropathy most common cause of… in UK?
A
Glomerular pathology and chronic kidney disease
2
Q
High levels of glucose passing through glomerulus leads to
A
Scarring (glomerulosclerosis)
3
Q
Key feature of diabetic nephropathy
A
Proteinuria
Due to damage to the glomerulus allowing protein to be filtered from blood to urine
4
Q
Management
A
Optimise blood sugar levels and blood pressure
ACEi are the treatment of choice in diabetics for blood pressure control (should be started in all patients with diabetic nephropathy even if normal BP)
Control dyslipidaemia
5
Q
Screening
A
Screen annually using urinary albumin:creatinine ration
Should be an early morning specimen
ACR>2.5 = microalbuminuria
