Evolving Pandemic Diabetic Nephropathy
The expanding impact of chronic kidney disease (CKD) due to pandemic diabetes mellitus is recounted emphasizing its epidemiology that has induced global socioeconomic stress on health care systems in industrialized nations now attempting to proffer optimal therapy for end stage renal disease (ESRD)....
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Format: | Article |
Language: | English |
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Rambam Health Care Campus
2010-07-01
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Series: | Rambam Maimonides Medical Journal |
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Online Access: | http://rmmj.org.il/(S(qh3lmpohu1o4cvqqcnfhxlye))/Pages/ArticleHTM.aspx?manuId=6 |
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author | Eli A. Friedman |
author_facet | Eli A. Friedman |
author_sort | Eli A. Friedman |
collection | DOAJ |
description | The expanding impact of chronic kidney disease (CKD) due to pandemic diabetes mellitus is recounted emphasizing its epidemiology that has induced global socioeconomic stress on health care systems in industrialized nations now attempting to proffer optimal therapy for end stage renal disease (ESRD). Strategies to delay and perhaps prevent progression of diabetic nephropathy from minimal proteinuria through nephrotic range proteinuria and azotemia to ESRD appear to have decreased the rate of persons with diabetes who develop ESRD. For those with ESRD attributed to diabetes, kidney transplantation affords better survival and rehabilitation than either hemodialysis or peritoneal dialysis. It is likely that advances in genetics and molecular biology will suggest early interventions that will preempt diabetic complications including renal failure. |
first_indexed | 2024-12-13T06:23:33Z |
format | Article |
id | doaj.art-af38437cca534396b01989204644cf8d |
institution | Directory Open Access Journal |
issn | 2076-9172 |
language | English |
last_indexed | 2024-12-13T06:23:33Z |
publishDate | 2010-07-01 |
publisher | Rambam Health Care Campus |
record_format | Article |
series | Rambam Maimonides Medical Journal |
spelling | doaj.art-af38437cca534396b01989204644cf8d2022-12-21T23:56:48ZengRambam Health Care CampusRambam Maimonides Medical Journal2076-91722010-07-0111e000510.5041/RMMJ.10005Evolving Pandemic Diabetic NephropathyEli A. Friedman0Distinguished Teaching Professor of Medicine, Downstate Medical Center, Brooklyn, New York, USAThe expanding impact of chronic kidney disease (CKD) due to pandemic diabetes mellitus is recounted emphasizing its epidemiology that has induced global socioeconomic stress on health care systems in industrialized nations now attempting to proffer optimal therapy for end stage renal disease (ESRD). Strategies to delay and perhaps prevent progression of diabetic nephropathy from minimal proteinuria through nephrotic range proteinuria and azotemia to ESRD appear to have decreased the rate of persons with diabetes who develop ESRD. For those with ESRD attributed to diabetes, kidney transplantation affords better survival and rehabilitation than either hemodialysis or peritoneal dialysis. It is likely that advances in genetics and molecular biology will suggest early interventions that will preempt diabetic complications including renal failure.http://rmmj.org.il/(S(qh3lmpohu1o4cvqqcnfhxlye))/Pages/ArticleHTM.aspx?manuId=6diabetic nephropathychronic kidney diseaseglycationrenal failurerenoprotection |
spellingShingle | Eli A. Friedman Evolving Pandemic Diabetic Nephropathy Rambam Maimonides Medical Journal diabetic nephropathy chronic kidney disease glycation renal failure renoprotection |
title | Evolving Pandemic Diabetic Nephropathy |
title_full | Evolving Pandemic Diabetic Nephropathy |
title_fullStr | Evolving Pandemic Diabetic Nephropathy |
title_full_unstemmed | Evolving Pandemic Diabetic Nephropathy |
title_short | Evolving Pandemic Diabetic Nephropathy |
title_sort | evolving pandemic diabetic nephropathy |
topic | diabetic nephropathy chronic kidney disease glycation renal failure renoprotection |
url | http://rmmj.org.il/(S(qh3lmpohu1o4cvqqcnfhxlye))/Pages/ArticleHTM.aspx?manuId=6 |
work_keys_str_mv | AT eliafriedman evolvingpandemicdiabeticnephropathy |