Afectación renal en la diabetes mellitus

  1. Barrio, F. Moreno
  2. Torres, C. Castillo
  3. Esparragoza, J.K. Peña
Zeitschrift:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Datum der Publikation: 2019

Serie: 12

Nummer: 80

Seiten: 4735-4744

Art: Artikel

DOI: 10.1016/J.MED.2019.05.031 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Medicine: Programa de Formación Médica Continuada Acreditado

Zusammenfassung

Diabetes mellitus (DM) has become a worldwide public health problem with more than 140 millions of cases nowadays (estimated population for 2030 is 4%). Diabetic nephropathy (DN) is the first cause of end-stage renal disease and renal replacement therapy. It can appear both in type 1 and in type 2 DM. Early detection of DN (potentially reversible proteinuria), is achieved by early follow-up of diabetic patient, (periodic assessment of proteinuria and glomerular filtration rate); so, the progression to renal insufficiency is stopped. Taking it into account, is very important a multifactorial therapeutic approach of diabetic patient, including strict control glycemia, arterial pressure and vascular risk factors. Renin–angiotensin–aldosterone system inhibitors play a key role in diabetes treatment, and are the first choice drugs as antihypertensive.

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