Diabetic nephropathy is glomerular sclerosis and fibrosis caused by metabolic and hemodynamic changes in diabetes mellitus. It begins as slowly progressive albuminuria with worsening hypertension and renal failure. Diagnosis is based on history, physical examination, urinalysis, and albumin/creatinine ratio. Treatment involves strict blood glucose control, angiotensin inhibitors (either angiotensin-converting enzyme [ACE] inhibitors or angiotensin II receptor blockers), and monitoring of blood pressure and lipid levels.
Episodes
0:00 Intro
0:22 Pathophysiology
3:47 Symptoms
4:13 Screening
4:37 Treatment