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When diabetes occurs with renal damage accompanied by any of the following conditions, the possibility of NDKD should be considered.
(1) T1DM has a short course (<10 years) or does not have DR
(2) Estimate the rapid decline of glomerular filtration rate (eGFR)
(3) Urinary albumin increases rapidly or nephrotic syndrome appears
(4) Active urine sediments (red blood cells, white blood cells, or cell casts, etc.
(5) Intractable hypertension
(6) Symptoms or signs of other systemic diseases
(7) EGFR decreased by more than 30% within 2 to 3 months after treatment with angiotensin converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB)
(8) Renal ultrasound revealed abnormalities
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