May 12, 2016 - Diabetic Nephropathy Flashcards
1
Q
Diabetic Nephropathy - Definition
A
You have to be a diabetic…
and…
eGFR <60 mL/min
ACR > 2.0 mg/mmol
2
Q
Natural History of Diabetic Nephropathy
A
The early rise is a WARNING
3
Q
Diabetic Retinopathy and Nephropathy
A
If you have diabetic retinopathy, you have 100% diabetic nephropathy.
4
Q
Screening of Diabetic Nephropathy
A
For DM1 you start screening after 5 years (even though it is almost always 10+)
For DM2 you start screening immediately (even though it is almost always 10+)
5
Q
ACEi and Diabetic Nephropathy
A
Reduce the risk of end stage kidney disease by 50%.
6
Q
ACEi and GFR
A
ACEi actually become more effective as GFR decreases
7
Q
Combining ACEs and ARBs
A
8
Q
A