Diabetic nephropathy.

It is estimated that about 50 per cent of all patients with Type I diabetes mellitus develop uremia during the course of their disease. Glomerular microvasculopathy is the most serious and predictable threat to longevity. Following a discussion of this disorder, the author outlines a plan for overall management of each phase of kidney disease so that the patient, his or her family, and all members of the medical team can achieve an understanding of what can be anticipated and accomplished.