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Sheen YJ, Sheu WH. Risks of rapid decline renal function in patients with type 2 diabetes. World J Diabetes. 2014;5(6):835-46doi: 10.4239/wjd.v5.i6.835.
Sheen, Y. J., & Sheu, W. H. (2014). Risks of rapid decline renal function in patients with type 2 diabetes. World journal of diabetes, 5(6), 835-46. https://doi.org/10.4239/wjd.v5.i6.835
Sheen, Yi-Jing, and Sheu, Wayne Hh. "Risks of rapid decline renal function in patients with type 2 diabetes." World journal of diabetes vol. 5,6 (2014): 835-46. doi: https://doi.org/10.4239/wjd.v5.i6.835
Sheen YJ, Sheu WH. Risks of rapid decline renal function in patients with type 2 diabetes. World J Diabetes. 2014 Dec 15;5(6):835-46. doi: 10.4239/wjd.v5.i6.835. PMID: 25512785; PMCID: PMC4265869.
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World J Diabetes. 2014 Dec 15;5(6):835-46. doi: 10.4239/wjd.v5.i6.835.

Risks of rapid decline renal function in patients with type 2 diabetes.

World journal of diabetes

Yi-Jing Sheen, Wayne Hh Sheu

Affiliations

  1. Yi-Jing Sheen, Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung 403, Taiwan.

PMID: 25512785 PMCID: PMC4265869 DOI: 10.4239/wjd.v5.i6.835

Abstract

Progressive rising population of diabetes and related nephropathy, namely, diabetic kidney disease and associated end stage renal disease has become a major global public health issue. Results of observational studies indicate that most diabetic kidney disease progresses over decades; however, certain diabetes patients display a rapid decline in renal function, which may lead to renal failure within months. Although the definition of rapid renal function decline remained speculative, in general, it is defined by the decrease of estimated glomerular filtration rate (eGFR) in absolute rate of loss or percent change. Based on the Kidney Disease: Improving Global Outcomes 2012 clinical practice guidelines, a rapid decline in renal function is defined as a sustained decline in eGFR of > 5 mL/min per 1.73 m(2) per year. It has been reported that potential factors contributing to a rapid decline in renal function include ethnic/genetic and demographic causes, smoking habits, increased glycated hemoglobin levels, obesity, albuminuria, anemia, low serum magnesium levels, high serum phosphate levels, vitamin D deficiency, elevated systolic blood pressure, pulse pressure, brachial-ankle pulse wave velocity values, retinopathy, and cardiac autonomic neuropathy. This article reviews current literatures in this area and provides insight on the early detection of diabetic subjects who are at risk of a rapid decline in renal function in order to develop a more aggressive approach to renal and cardiovascular protection.

Keywords: Albuminuria; Diabetic kidney disease; Estimated glomerular filtration rate; Rapid decline; Type 2 diabetes

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