Fast Five Quiz: Diabetic Nephropathy Management

A. Brent Alper, Jr, MD, MPH


April 24, 2020

Figure 1. Kidney damaged by diabetes.

Strategies for the prevention of diabetic nephropathy include avoidance of potentially nephrotoxic drugs such as nonsteroidal anti-inflammatory medications and aminoglycosides. Hypertension should be controlled with an optimal blood pressure of 120/70 mm Hg as the target. Tight glycemic control is vital; an A1c < 7% is recommended.

Activity restrictions are not recommended for the prevention of diabetic nephropathy or for patients with diabetic nephropathy unless they are warranted by other associated complications of diabetes, such as associated coronary disease or peripheral vascular disease.

Learn more about the prevention and management of diabetic nephropathy.


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