Lang V Bralić, Baretić Maja, Pavić E
Acta Med Croatica. 2016 Dec;70(4-5):319-24.
The alarming rates of diabetes mellitus incidence and progression continue despite deployment of all current treatments. Kidney disease can be a particularly devastating complication, as it is associated with significant reductions in both length and quality of life. A variety of forms of kidney disease can be seen in people with diabetes, including diabetic nephropathy, ischemic damage related to vascular disease and hypertension, as well as other renal diseases that are unrelated to diabetes. Following an extensive PubMed search, this review provides a brief view on the screening for chronic kidney disease (CKD) in people with diabetes, how to treat them to slow down the progression of CKD and when to refer them to specialist care. This review also emphasizes the basic challenge in treating diabetic patients, which is to shift the main criterion from the disease-oriented to person-centered approach in the context of treating the patient as a whole.
尽管目前已采用了所有治疗方法，但糖尿病的发病率和进展速度仍令人担忧。肾脏疾病可能是一种特别具有破坏性的并发症，因为它与寿命和生活质量的显著下降有关。糖尿病患者可能会出现多种形式的肾脏疾病，包括糖尿病肾病、与血管疾病和高血压相关的缺血性损伤，以及其他与糖尿病无关的肾脏疾病。在对PubMed进行广泛检索之后，本综述简要介绍了糖尿病患者慢性肾脏病（CKD）的筛查、如何治疗以减缓CKD的进展，以及何时将他们转诊至专科护理。本综述还强调了治疗糖尿病患者的基本挑战，即在将患者作为一个整体进行治疗的背景下，将主要标准从以疾病为导向转变为以患者为中心的方法。
