Kokot F
Department of Nephrology, Silesian University School of Medicine, Katowice, Poland.
Clin Nephrol. 1996 Oct;46(4):266-8.
Tight metabolic control as assessed by estimation of glycated hemoglobin or albumin seems to be the main prophylactic factor in the prevention of most diabetic complications. By regular monitoring of the kidney size, GFR, and urinary albumin excretion, detection of early (reversible) diabetic nephropathy is possible. By appropriate dietary (protein restriction) and pharmacological (ACEI, antihypertensive drugs) treatment development of overt diabetic nephropathy may be prevented or markedly slowed.
通过糖化血红蛋白或白蛋白评估的严格代谢控制似乎是预防大多数糖尿病并发症的主要预防因素。通过定期监测肾脏大小、肾小球滤过率（GFR）和尿白蛋白排泄，可以检测出早期（可逆性）糖尿病肾病。通过适当的饮食（蛋白质限制）和药物（血管紧张素转换酶抑制剂、抗高血压药物）治疗，可以预防或显著延缓显性糖尿病肾病的发展。
