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Biochemical monitoring of diabetic patients
1Department of Nephrology, Silesian University School of Medicine, Katowice, Poland.
Clinical Nephrology
|October 1, 1996
Abstract:
Tight metabolic control as assessed by estimation of glycated hemoglobin or albumin seems to be the main prophylactic factor in the prevention of most diabetic complications. By regular monitoring of the kidney size, GFR, and urinary albumin excretion, detection of early (reversible) diabetic nephropathy is possible. By appropriate dietary (protein restriction) and pharmacological (ACEI, antihypertensive drugs) treatment development of overt diabetic nephropathy may be prevented or markedly slowed.