Abstract
Renal involvement of DM is collectively known as diabetic kidney disease (DKD). DKD is initially characterized by hyperfiltration in many patients which is eventually followed by a reduction in glomerular filtration rate and ultimately, progression to end stage kidney disease. Renal pathogenesis occurs as a result of aberrancies in various pathways including the hemodynamic, metabolic, inflammatory, genetic, and alternative pathways which are discussed in further detail in the chapter. While newer treatment modalities attempt to address various aberrations in these pathways, the mainstay of DKD management still focuses on renin-angiotensin-aldosterone system inhibition, glycemic and blood pressure control.
Original language | English (US) |
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Title of host publication | Encyclopedia of Endocrine Diseases |
Publisher | Elsevier |
Pages | 202-206 |
Number of pages | 5 |
ISBN (Electronic) | 9780128122006 |
ISBN (Print) | 9780128121993 |
DOIs | |
State | Published - Jan 1 2018 |
Keywords
- Diabetic kidney disease
- Diabetic nephropathy
- End stage kidney disease
- Pathophysiology
ASJC Scopus subject areas
- General Medicine