Diabetic nephropathy overview

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Overview

Diabetic nephropathy (DN) is defined as the presence of proteinuria or decreased renal function in patients with diabetes mellitus.[1][2][3]

Early Diabetic Nephropathy

The range of proteinuria in early DN is shown below[1][2][3]:

  • Males: Microalbuminuria in the range of 30-300 mg/24 hrs or a spot urinary albumin/creatinine ratio of 30-300 mg/g
  • Females: Microalbuminuria in the range of 30-300 mg/24 hrs or a spot urinary albumin/creatinine ratio of 20-200 mg/g

Overt Diabetic Nephropathy

Overt DN is defined according to the presence of proteinuria or according to renal function. The following ranges in overt DN are shown below[1][2][3]:

  • Proteinuria > 500 mg/24 hrs or albuminuria > 300 mg/24 hrs.
  • Estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73m2

References

  1. 1.0 1.1 1.2 Mogensen CE, Christensen CK (1984). "Predicting diabetic nephropathy in insulin-dependent patients". N Engl J Med. 311 (2): 89–93. doi:10.1056/NEJM198407123110204. PMID 6738599.
  2. 2.0 2.1 2.2 Mogensen CE (1984). "Microalbuminuria predicts clinical proteinuria and early mortality in maturity-onset diabetes". N Engl J Med. 310 (6): 356–60. doi:10.1056/NEJM198402093100605. PMID 6690964.
  3. 3.0 3.1 3.2 Reutens AT, Atkins RC (2011). "Epidemiology of diabetic nephropathy". Contrib Nephrol. 170: 1–7. doi:10.1159/000324934. PMID 21659752.