Navigating Medical Guidelines for Diabetic Kidney Disease
Published: Jan 05, 2024
Medical guidelines for diabetic kidney disease provide crucial insights into effective management. Learn the key recommendations for DKD care.
Contents
Blood Pressure and Glycemic Control
Maintaining target blood pressure and glycemic levels is critical according to DKD guidelines. Blood pressure should be kept below 130/80 mmHg, while an A1C level of 7% or less is ideal. These targets help prevent kidney damage and reduce cardiovascular risks. Personalized treatment plans can help achieve these goals safely.
Use of ACE Inhibitors and ARBs
Guidelines recommend using ACE inhibitors or ARBs for patients with severely increased albuminuria. These medications help protect the kidneys and control blood pressure. It's advised not to combine these drugs with each other or with renin inhibitors. Following this guidance can prevent adverse effects and optimize treatment outcomes.

Frequently Asked Questions
Below 130/80 mmHg is recommended.
An A1C of 7% or less is ideal.
Use of ACE inhibitors or ARBs is advised.
No, combining ACE inhibitors and ARBs is not advised.
The Bottom Line
Following guidelines ensures safe and effective DKD management.
References
- American Diabetes Association. Diabetes Care 2020; 43:S135.
- KDIGO 2020 Clinical Practice Guideline. Kidney Int 2020; 98:S1.
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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