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家庭医による家庭医のためのプライマリケア上達術 » 糖尿病性腎症　家庭医の役割

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糖尿病性腎症　家庭医の役割

糖尿病腎症　家庭医の役割

http://www.aafp.org/afp/2012/0501/p883.html

久しぶりにAAFPレビューをよむ時間を得たが、そのすばらしさを再度実感させるレビューである。糖尿病性腎症のコントロールは糖尿病患者の２０％程度の死亡理由となりえるのでマネジメントは大切である。腎症だけでなく、DM全般についてもよいアップデートになる。最新の治療結果についてよくまとまっている。テーブルだけでも参照してほしい。ACCORD、ADVANCE、 GUARD　スタディについては確認しておきたい。

ACEを中止する基準として参考になる下記の文献も覚えておきたい。

Bakris  GL, Weir  MR.  Angiotensin-converting enzyme inhibitor-associated elevations in serum creatinine: is this a cause for concern? Arch Intern Med.  2000;160(5):685–693

update: 2012/05/09 | 家庭医プライマリケアアップデート
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