糖尿病肾脏病（diabetic kidney disease，DKD）是指临床考虑由糖尿病引起的肾脏病变,如经肾穿刺病理检查证实则称为糖尿病肾小球病变 (diabetic glomerulopathy),与既往糖尿病肾病（DN）虽仅一字之差，但更科学、严谨，将来逐渐由DKD取代DN这个术语。 DKD是美国肾脏病基金会（NKF）2007年提出，全文发表于AJKD,VOL 49, NO 2, SUPPL，全文中有这样一句：“The term “diabetic nephropathy” should be replaced by DKD.

Dec 16, 2024 · 糖尿病肾脏疾病（DKD）是糖尿病最常见的并发症之一，已成为我国慢性肾脏病的首要病因。 由于基层医院医疗资源欠缺、患者健康意识薄弱，呈现 DKD检出率及治疗率低、血糖控制达标率低、进展速度快 的特点，规范诊治与随访管理已迫在眉睫。 糖尿病患者出现下列情况之一： 随机尿白蛋白/尿肌酐比值（UACR）≥30 mg/g或尿白蛋白排泄率（UAER）≥30 mg/24h，且在3～6个月内重复检查3次UACR或UAER中有2次达到或超过临界值；排除感染等 …

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Sep 23, 2024 · Diabetic kidney disease (DKD) is a major complication of diabetes mellitus (DM), affecting over one-third of type 1 and nearly half of type 2 diabetes patients. As the leading cause of end-stage renal disease (ESRD) globally, DKD develops through a complex interplay of chronic hyperglycemia, oxidative stress, and inflammation.

Type 2 diabetic kidney disease (DKD) is the most common cause of CKD and ESRD worldwide, and carries with it enormous human and societal costs. The goal of this review is to provide an update on the diagnosis and management of DKD based on a comprehensive review of the medical literature.

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Jun 15, 2019 · DKD is associated with higher cardiovascular and all-cause morbidity and mortality, so timely diagnosis and treatment are critical. Screening for early DKD is best done with annual spot urine albumin/creatinine ratio testing, and diagnosis is confirmed by repeated elevation in urinary albumin excretion.

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