Diabetic nephropathy Flashcards
1
Q
What does diabetic nephropathy usually cause
A
Chronic kidney disease
2
Q
What is seen on history and examination
A
oedema
polyuria
lethargy
hypertension
3
Q
What investigations are required
A
Urinalysis
ACR >2.5 = microalbuminuria
screen annually
Renal biopsy
-Kimmelstiel-Wilson nodules
4
Q
What is management of diabetic nephropathy
A
ACEI/ARB if ACR is greater than 3
improve glycaemic control
BP target of 130/80
