In recent years, the prevalence of adult diabetes in my country has reached 12.4%, with type 2 diabetes being the predominant type. About 30% to 40% of patients with diabetes will develop chronic kidney disease (CKD), leading to end-stage renal disease (ESRD) and atherosclerotic cardiovascular disease. , ASCVD), heart failure, cardiovascular death, and all-cause death risk were significantly increased.
All patients with type 2 diabetes and type 1 diabetes with a disease duration of ≥5 years should have their urine albumin/creatinine ratio (UACR) and estimated glomerular filtration rate at least once a year.
When diabetic patients have persistent eGFR <60 m·min-1(1.73m2)-1 and/or UACR≥30 mg/g, the clinical diagnosis of diabetes combined with CKD can be considered, and renal biopsy pathological examination may not be routinely performed.
Therefore,patients diagnosed with diabetes and CKD should undergo a comprehensive assessment of the risk of adverse renal and cardiac prognosis and death risk in a timely manner is important.
As an important evaluation index for the prognosis of diabetes and CKD, UACR is more sensitive than eGFR.
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Post time: Nov-27-2024