Introduction of diabetic nephropathy
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***[[http://content.nejm.org/cgi/content/short/329/14/977|NEJM 1993;329:977: The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long-Term Complications in Insulin-Dependent Diabetes Mellitus]] | ***[[http://content.nejm.org/cgi/content/short/329/14/977|NEJM 1993;329:977: The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long-Term Complications in Insulin-Dependent Diabetes Mellitus]] | ||
**UKPDS (UK Prospective Diabetes Study) | **UKPDS (UK Prospective Diabetes Study) | ||
- | *** | + | *** [http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T1B-3TX4KPJ-3&_user=2411013&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000051939&_version=1&_urlVersion=0&_userid=2411013&md5=6ce6fc1e30dcd65072e0b0bc72934dff|Lancet 1998;352:837: Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33)] |
***Type 2 DM | ***Type 2 DM | ||
**Effects on macroangiopathy (cardiovascular disease and atherosclerosis) are less certain | **Effects on macroangiopathy (cardiovascular disease and atherosclerosis) are less certain |
在2018年3月13日 (二) 17:21所做的修訂版本
- The most common cause of incident ESRD and the 2nd commonest cause of prevalent ESRD in Taiwan
- Prevalence
- 40% in type 1 and 2 DM
- Because type 2 DM is much more common than type 1 DM, most diabetic nephropathy patients have type 2 DM
- Importance of hyperglycemia in DN
- DCCT (Diabetes Control and Complications Trial)
- UKPDS (UK Prospective Diabetes Study)
- Effects on macroangiopathy (cardiovascular disease and atherosclerosis) are less certain