Treatment of diabetic nephropathy

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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)
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)

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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)