[Previous Months][Date Index][Thread Index][Join - Register][Login]
  [Message Prev][Message Next][Thread Prev][Thread Next]

[IPk] From the Medscape site....

The medscape site is free, but you have to subscribe ...

Blood Pressure or Glycemia Control -- Which Is More Important in
Which is more important? Rudy W. Bilous, MD, FRCP, weighs in. 
Medscape Diabetes & Endocrinology 5(1) 2003

Key statements:
'Treatments can be thought of in terms of primary prevention of
nephropathy; secondary prevention, ie, halting the progression from
microalbuminuria to clinical nephropathy; and tertiary prevention, ie,
preventing progression from clinical nephropathy to end-stage renal

She concludes:
'First, glycemic control is the only therapy shown to prevent
nephropathy development and is the only treatment proven to reverse
established pathology. By the time AER is in the microalbuminuric or
nephropathic range, only antihypertensive therapy, specifically with ACE
inhibitors or ARB, can slow the pace of progression.'

Best wishes to all,

(dm 30+, 508 1+, allegedly doing research)
Pat Reynolds
email @ redacted
   "It might look a bit messy now, but just you come back in 500 years time" 
   (T. Pratchett)
for HELP or to subscribe/unsubscribe, contact: