Diabetic Nephropathy

Question 1

What is Diabetic Nephropathy

Answer 1

Increase sugar - damage small blood vessels and filters in the kidneys- leaking of protein- Proteinuria
Test: Urine Protein Creatinine Ratio (UPCR)

Question 2

Type II Diabetes and Management (NICE)

Answer 2

1) Individualised Care
2) Education
3) Dietary Advice- high fibre, low glucose, fat and saturated fatty
acids
4) Weight loss- bariatric surgery

Question 3

Blood Glucose Management & Targets

Answer 3

HBA1c Monitoring:
1) 3-6 months (individual)
2) 6 months (once stable)

HBA1c Target: 48mmol/mol
- Lifestyle changes
- 1 therapy without hypo