Nephropathy Flashcards
what is diabetic nephropathy
A progressive kidney disease caused by damage to the capillaries in the kidneys’ glomeruli
what is diabetic nephropahty charcaterised by
proteinuria and diffuse scarring in the glomeruli
how is it diagnosed
elevated urine protein and or reduced renal function
what should patients with microalbuminaemia be strated on regardless of hba1c
SGLT2 inhibitor
what can prevent further decline
ace inhibitor, sglt2i, bp monitoring
complications of nephropathy
hypertension
decline in renal function
- gfr will drop 1 ml/min / month if untreated
what test identifies kidney disease
ACR test
what is albumin
a protein
what is creatine
waste product from muscle metabolism
why is albumin and creatine measured
albumin signifies kidney damage as healthy ones prevent significant amounts of protein leaking into the urine
proteinuria values
acr > 30, pcr >50
does proteinuria show up on dip stick
yes
does microalbuminemia show up on dip stick
no
microalbuminaemia values
acr <30, pcr <50
how to prevent nephropathy
good glycaemic control
