Clinical significance of vascular damage in patients with diabetes and renal impairment--a nephrologist's view

Care for diabetic patients with renal impairment and vascular damage is a typical example of care requiring inter-professional approach. Vascular damage in patients with diabetes may lead to renal disease (ischemic nephropathy, high incidence but frequently unrecognised in diabetic patients). Renal...

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Bibliographic Details
Published inVnitřní lékar̆stvĭ Vol. 56; no. 4; p. 351
Main Author Dusilová Sulková, S
Format Journal Article
LanguageCzech
Published Czech Republic 01.04.2010
Subjects
Diabetic Angiopathies - complications
Diabetic Angiopathies - diagnosis
Diabetic Angiopathies - physiopathology
Diabetic Angiopathies - therapy
Diabetic Nephropathies - complications
Diabetic Nephropathies - diagnosis
Diabetic Nephropathies - physiopathology
Diabetic Nephropathies - therapy
Disease Progression
Humans
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Summary:Care for diabetic patients with renal impairment and vascular damage is a typical example of care requiring inter-professional approach. Vascular damage in patients with diabetes may lead to renal disease (ischemic nephropathy, high incidence but frequently unrecognised in diabetic patients). Renal ischemia resulting from hypoperfusion due to vascular changes contributes to progression of nephropathy and accelerates destruction of functional renal parenchyma. Vascular damage is the leading cause of morbidity and mortality in patients on dialysis. Amputations are reported in 6% of patients and increase the risk of death by at least 50%. All these issues highlight the need for comprehensive and early inter-professional care aimed at protecting the vascular system, i.e. recognition and, whenever possible, elimination of all factors contributing to vascular damage in diabetic patients.
ISSN:0042-773X