• Primary care · Dec 2020

    Review

    Diabetic Kidney Disease.

    • Ryan Bonner, Oltjon Albajrami, James Hudspeth, and Ashish Upadhyay.
    • Section of Nephrology, Department of Medicine, Boston Medical Center and Boston University School of Medicine, 800 Harrison Avenue, G009, Boston, MA 02118, USA.
    • Prim. Care. 2020 Dec 1; 47 (4): 645-659.

    AbstractDiabetic kidney disease (DKD) is the most common cause of chronic kidney disease in the United States. Approximately 30% to 40% of individuals with diabetes mellitus develop DKD, and the presence of DKD significantly elevates the risk for morbidity and mortality. Understanding of DKD has grown in recent years. This review describes the pathogenesis of DKD and expands on evidence-based strategies for DKD management, integrating traditional approaches for hyperglycemia, hypertension, and albuminuria management with emerging therapeutic options. Given the public health burden of DKD, it is essential to prioritize prevention, recognition, and management of DKD in the primary care setting.Copyright © 2020 Elsevier Inc. All rights reserved.

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