Contents
Exploring Treatment Options for Diabetic Kidney Disease
Published: Sep 25, 2024
Managing diabetic kidney disease involves a variety of treatments. Let's explore the options available to help manage DKD.
Blood Pressure Control
Controlling blood pressure is crucial in managing DKD. Patients with DKD are advised to maintain blood pressure levels below 130/80 mmHg to reduce kidney damage. Medications such as ACE inhibitors or ARBs are commonly used to help achieve these targets. Combining these with lifestyle changes can enhance treatment effectiveness.
Glycemic Control
Proper blood sugar management is essential in preventing DKD progression. The target A1C level for diabetics with DKD is typically 7% or less. Intensive glycemic control can help reduce the risk of kidney complications. However, the risk of hypoglycemia should be considered, and treatment plans should be tailored to the individual.
Medications for DKD
Several medications are available to help manage DKD, including SGLT2 inhibitors and nonsteroidal MRAs like finerenone. These drugs can help slow disease progression and reduce cardiovascular risks. It's important to discuss the best options with a healthcare provider, considering any side effects and individual health factors.
Frequently Asked Questions
Below 130/80 mmHg is recommended.
The target is typically 7% or less.
ACE inhibitors, ARBs, and SGLT2 inhibitors.
Wrapping Up
Effective DKD treatment involves a combination of medication and lifestyle changes.
References
- Lewis EJ, et al. N Engl J Med 1993; 329:1456.
- Brenner BM, et al. N Engl J Med 2001; 345:861.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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