What are the goals for prevention of diabetic nephropathy?

Updated: Oct 09, 2019
  • Author: Vecihi Batuman, MD, FASN; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Efforts should be made to modify and/or treat associated risk factors such as hyperlipidemia, smoking, and hypertension.

Specific goals for prevention include the following:

  • Optimal blood glucose control (hemoglobin A1c [HbA1c] < 7%)

  • Control of hypertension (BP < 120/70 Hg)

  • Avoidance of potentially nephrotoxic substances such as nonsteroidal anti-inflammatory medications and aminoglycosides

  • Early detection and optimal management of diabetes, especially in the setting of family history of diabetes


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