Modern possibilities of effective nephroprotection in patients with diabetes
Cherenko M. S.
Chronic kidney disease is a term proposed back in 2002, which most accurately reflects the process of stable (more than 3 months) kidney damage. This is confirmed by laboratory indicators in blood and urine, as well as changes in the kidneys according to the results of ultrasound and biopsies. The most reliable indicator of the decrease in kidney function is a decrease in the hunch index of glomerular filtration rate below 60 ml/min/173 m2. The most common causes of chronic kidney disease are diabetes, arterial hypertension and cardiovascular diseases. Due to the growing prevalence of these diseases, the frequency of kidney damage also increases. Unfortunately, despite the fact that groups of patients at risk and possible causes of chronic kidney disease are known, very often this pathology is detected in late stages. Today, in the world more than 800 million people suffer from chronic kidney disease and diagnosis of chronic kidney disease often is made only at 4–5 stages. Among the main risk factors of the progression of chronic kidney disease is hyperglycemia, hypertension and obesity. In the article the risk factors of chronic kidney disease are discussed along with approach to modern treatment.
Key words: chronic kidney disease, treatment, risk factors, kidney function.