Diabetic nephropathy natural history, complications and prognosis: Difference between revisions
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==Natural History, Complications, and Prognosis== | ==Natural History, Complications, and Prognosis== | ||
===Prognosis=== | |||
Diabetic nephropathy continues to get gradually worse. Complications of chronic kidney failure are more likely to occur earlier, and progress more rapidly, when it is caused by diabetes than other causes. Even after initiation of dialysis or after transplantation, people with diabetes tend to do worse than those without diabetes. | Diabetic nephropathy continues to get gradually worse. Complications of chronic kidney failure are more likely to occur earlier, and progress more rapidly, when it is caused by diabetes than other causes. Even after initiation of dialysis or after transplantation, people with diabetes tend to do worse than those without diabetes. | ||
===Complications=== | |||
Possible complications include: | |||
* [[hypoglycemia]] (from decreased excretion of insulin) | |||
* rapidly progressing chronic [[kidney failure]] | |||
* [[end-stage kidney disease]] | |||
* [[hyperkalemia]] | |||
* severe [[hypertension]] | |||
* complications of [[hemodialysis]] | |||
* complications of [[kidney transplant]] | |||
* coexistence of other [[diabetes]] complications | |||
* [[peritonitis]] (if peritoneal dialysis used) | |||
* increased [[infections]] | |||
==References== | ==References== |
Revision as of 19:56, 28 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Natural History, Complications, and Prognosis
Prognosis
Diabetic nephropathy continues to get gradually worse. Complications of chronic kidney failure are more likely to occur earlier, and progress more rapidly, when it is caused by diabetes than other causes. Even after initiation of dialysis or after transplantation, people with diabetes tend to do worse than those without diabetes.
Complications
Possible complications include:
- hypoglycemia (from decreased excretion of insulin)
- rapidly progressing chronic kidney failure
- end-stage kidney disease
- hyperkalemia
- severe hypertension
- complications of hemodialysis
- complications of kidney transplant
- coexistence of other diabetes complications
- peritonitis (if peritoneal dialysis used)
- increased infections