順天堂醫事雑誌
Online ISSN : 2188-2126
Print ISSN : 2187-9737
ISSN-L : 2187-9737
Health Topics for Tokyoites: The Concept of Diabetic Kidney Disease (DKD) and Essential Points of Treatment to Prevent Aggravation
Essential Points of Treatment and Examination to Prevent Diabetic Kidney Disease Aggravation
SHINJI HAGIWARA TOMOHITO GOHDAKAZUHIKO FUNABIKIYUSUKE SUZUKI
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ジャーナル オープンアクセス

2019 年 65 巻 6 号 p. 529-536

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 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.

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© 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.

This article is licensed under a Creative Commons [Attribution 4.0 International] license.
https://creativecommons.org/licenses/by/4.0/
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