Abstract
Diabetic vascular complications include not only kidney disease but also retinopathy, neuropathy, stroke, angina pectoris, myocardial infarction, and foot gangrene. The definition of diabetic kidney disease (DKD) includes, in addition to classical diabetic nephropathy, atypical diabetes-related nephropathy in which renal function declines without albuminuria. Therefore, it is necessary to regularly assess the estimated glomerular filtration rate together with the level of albuminuria for early detection and treatment of DKD. In addition to lifestyle modifications and diet therapy, comprehensive treatment for hypertension, hyperglycemia, and hyperlipidemia, as well as multidisciplinary team medical care are important to achieve the goal of preventing DKD aggravation.
© 2018 The Juntendo Medical Society. This is an open access article distributed under the terms of Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original source is properly credited.
