糖尿病腎病變治療

保留腎功能: (Uptodate) (ARB, ACEi)

  There is now clear evidence that
   T1DM/ overt nephropathy:
    -控制血壓 (particularly ACEi)(
    -限蛋白質 (perhaps can reduce the rate of progressio)

   T2DM/ overt diabetic nephropathy,
    -控制血壓 (UKPDS: SBP 120 mmHg以下, 糖尿病併發症最少)
    -ARBs(較優). ACEI (similar effect)

  *The efficacy of blood pressure and proteinuria reduction in patients with diabetic nephropathy is similar to that seen in patients with nondiabetic proteinuric chronic kidney disease (CKD). (See "Antihypertensive therapy and progression of nondiabetic chronic kidney disease in adults".)