Treatment of diabetic nephropathy
出自KMU Wiki
(修訂版本間差異)
在2018年3月28日 (三) 13:14所做的修訂版本 (編輯) Guhjy (對話 | 貢獻) (新頁面: *HbA1C goal (6.5-7%, 8% if aged or ≥ stage 3 CKD) *Risk of hypoglycemia in RF (renal failure) *ACEI/ARB/DRI (if not pregnant) (do not combine) *For H/T, microalbuminuria/proteinuria/eG...) ←上一個 |
當前修訂版本 (2018年3月28日 (三) 13:15) (編輯) (撤銷) Guhjy (對話 | 貢獻) |
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第6行: | 第6行: | ||
*Watch for hyperkalemia, AKI | *Watch for hyperkalemia, AKI | ||
*BP: | *BP: | ||
- | *Type 1 DM: ACEI, (ARB) or direct renin inhibitor (DRI) | + | **Type 1 DM: ACEI, (ARB) or direct renin inhibitor (DRI) |
- | *Type 2 DM: ACEI, ARB or DRI | + | **Type 2 DM: ACEI, ARB or DRI |
- | *Plus: calcium channel blockers, diuretics, etc. | + | **Plus: calcium channel blockers, diuretics, etc. |
*Low protein diet (0.8 g/kg/day) | *Low protein diet (0.8 g/kg/day) | ||
*In advanced CKD (≥ stage 4): “renal failure diet” (high calories, low protein, low salt, low K) | *In advanced CKD (≥ stage 4): “renal failure diet” (high calories, low protein, low salt, low K) |
當前修訂版本
- HbA1C goal (6.5-7%, 8% if aged or ≥ stage 3 CKD)
- Risk of hypoglycemia in RF (renal failure)
- ACEI/ARB/DRI (if not pregnant) (do not combine)
- For H/T, microalbuminuria/proteinuria/eGFR<60
- Efferent arteriole dilation → transiently ↓ GFR
- Watch for hyperkalemia, AKI
- BP:
- Type 1 DM: ACEI, (ARB) or direct renin inhibitor (DRI)
- Type 2 DM: ACEI, ARB or DRI
- Plus: calcium channel blockers, diuretics, etc.
- Low protein diet (0.8 g/kg/day)
- In advanced CKD (≥ stage 4): “renal failure diet” (high calories, low protein, low salt, low K)