Diabetic nephropathy Flashcards
1
Q
What is it?
A
Albuminuria and progressive reduction in glomerular filtration rate in the setting of a long duration of diabetes
2
Q
What are the risk factors?
A
Poorly controlled diabetes HTN Family history Obesity Smoking
3
Q
How does it present?
A
HTN Signs of retinopathy (microaneurysms) Oedema Numbness of lower extremities Foot changes
4
Q
What are the investigations?
A
Urinalysis
eGFR and creatinine
Kidney ultrasound
HbA1c
5
Q
What is the management?
A
Glycaemic control ACEi/ARB Weight loss Smoking cessation ?statin
6
Q
What are the complications?
A
End stage renal disease Hyperkalaemia CV problems Blindness Peripheral vascular disease Bone disease
