Measures for Prevention of Diabetic Nephropathy
Efforts should be made to modify and/or treat associated risk factors such as hyperlipidemia, smoking, and hypertension.
Specific goals for prevention include the following:
Optimal blood glucose control (hemoglobin A 1c [HbA 1c] < 7%)
Control of hypertension (BP < 120/70 Hg)
Avoidance of potentially nephrotoxic substances such as nonsteroidal anti-inflammatory medications and aminoglycosides
Early detection and optimal management of diabetes, especially in the setting of family history of diabetes
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