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    Home > Active Ingredient News > Endocrine System > In 2021, "Chinese Guidelines for Clinical Diagnosis and Treatment of Diabetic Kidney Disease" will be released.

    In 2021, "Chinese Guidelines for Clinical Diagnosis and Treatment of Diabetic Kidney Disease" will be released.

    • Last Update: 2021-04-13
    • Source: Internet
    • Author: User
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    Diabetic kidney disease ( DKD ) is a serious complication of diabetes and the main cause of end-stage kidney disease.


    Diabetic kidney disease ( DKD ) is a serious complication of diabetes and the main cause of end-stage kidney disease.


    The strength of expert recommendation in this guideline refers to the GRADE evidence quality classification and recommendation strength system developed by the World Health Organization ( WHO ), etc.


    The strength of expert recommendation in this guideline refers to the GRADE evidence quality classification and recommendation strength system developed by the World Health Organization ( WHO ), etc.


    Diagnosis diagnosis

    One, diabetic kidney disease

    One, diabetic kidney disease

    Meet the diabetes diagnostic criteria established by the ADA in 2020 , have a clear history of diabetes, and have a causal relationship with urine protein and renal function changes, and exclude other primary and secondary glomerular diseases and systemic diseases, and meet the following conditions One of them can diagnose DKD .


    Meet the diabetes diagnostic criteria established by the ADA in 2020 , have a clear history of diabetes, and have a causal relationship with urine protein and renal function changes, and exclude other primary and secondary glomerular diseases and systemic diseases, and meet the following conditions One of them can diagnose DKD .


    Second, normal albuminuria diabetic kidney disease

    Second, normal albuminuria diabetic kidney disease

    Meet the WHO or ADA clinical diagnostic criteria for diabetes, while excluding other primary, secondary or systemic diseases, the following conditions can be considered clinically diagnosed as normal albuminuria DKD .


    Meet the WHO or ADA clinical diagnostic criteria for diabetes, while excluding other primary, secondary or systemic diseases, the following conditions can be considered clinically diagnosed as normal albuminuria DKD .


    3.


    3.


    The occurrence, development, treatment and prognosis of T2DKD are completely different from those of non-diabetic kidney disease.


    Fourth, the stages of diabetic kidney disease

    Fourth, the stages of diabetic kidney disease

    Compared with the past, this staging is more accurate , which helps to estimate the degree and prognosis of DKD kidney damage, and strengthen disease management.


    Compared with the past , this staging is more accurate , which helps to estimate the degree and prognosis of DKD kidney damage, and strengthen disease management.


    Kidney biopsy

    Kidney Biopsy Kidney Biopsy

    1.


    1.


    The diagnosis of DKD currently lacks non-invasive specific biomarkers, and kidney biopsy is an important basis for the diagnosis of DKD.


    treatment

    Treatment Treatment

    One, change the way of life

    One, change the way of life

    Second, control blood sugar

    Second, control blood sugar

    Third, control blood pressure

    Third, control blood pressure

    Fourth, control proteinuria

    Fourth, control proteinuria

    Five, regulate blood lipids

    Five, regulate blood lipids

    Six, control uric acid

    Six, control uric acid

    Original source:

    Original source:

    Chinese Medical Association Nephrology Branch Expert Group .
    Chinese Guidelines for Clinical Diagnosis and Treatment of Diabetic Kidney Disease [J].
    Chinese Journal of Nephrology , 2021, 37(3): 255-304.
    https://maiimg.
    com/pdf/?e= ag9CLnuI5q91Qm

    Chinese Medical Association Nephrology Branch Expert Group .
    Chinese Guidelines for Clinical Diagnosis and Treatment of Diabetic Kidney Disease [J].
    Chinese Journal of Nephrology , 2021, 37(3): 255-304.
    https://maiimg.
    com/pdf/?e= ag9CLnuI5q91Qm

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