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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 diseaseMeet 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 diseaseMeet 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 diseaseCompared 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 Biopsy1.
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 TreatmentOne, change the way of life
One, change the way of lifeSecond, control blood sugar
Second, control blood sugarThird, control blood pressure
Third, control blood pressureFourth, control proteinuria
Fourth, control proteinuriaFive, regulate blood lipids
Five, regulate blood lipidsSix, control uric acid
Six, control uric acidOriginal 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 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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