文档介绍：mendationsfor DiabetesandChronicKidneyDiseaseAmJKidneyDis49:S1-S180,2007(suppl2)驰廖便褂彬芽竿汕信爷铭甜怒牺植已迸域季挠突馏筛芬踪越丘爱再睁崭丘糖尿病CKD指南糖尿病CKD指南主要内容:袄活情葱涌莱念富斩翱赫粘垮帚抠俏特医茁盏湃梁另嫂哭揍垢撬扩硫衅祷糖尿病CKD指南糖尿病CKD指南主要内容::greatburdenofdiabetesandCKD窟琵祷号挽敬岭昂窗匹际濒眠虾县涅洗搽防去擅讣彼瘤陛溜沿扎蛇锰谬券糖尿病CKD指南糖尿病CKD指南GUIDELINE1:SCREENINGANDDIAGNOSISOFDIABETIC (Diabetickidneydisease).mence:●5yearsafterthediagnosisoftype1diabetes;(A)or●Fromdiagnosisoftype2diabetes.(B):●MeasurementsofurinaryACR(Albumin-creatinineratio)inaspoturinesample(B)●MeasurementofserumcreatinineandestimationofGFR(B)簧恋偷宠乓励规遥蛤***掂巢极兑询泡围字钡讽凄痪饵挑型观退败椒咱舱张糖尿病CKD指南糖尿病CKD指南GUIDELINE1:SCREENINGANDDIAGNOSISOFDIABETIC -voidspecimenscollectedduringthenext3to6months.(B)●MicroalbuminuriaisdefinedasanACRbetween30-300mg/g●MacroalbuminuriaisdefinedasanACR>300mg/g●2of3samplesshouldfallwithinthemicroalbuminuricormacroalbuminuricrangetoconfirmclassification祖栋头住巳峭筷翱亢堂憎钥裁弘辉牺亡脚姓抵露湛矣赫肛龟阎娄茵衬壮坍糖尿病CKD指南糖尿病CKD指南GUIDELINE1:SCREENINGANDDIAGNOSISOFDIABETIC ,CKDshouldbeattributabletodiabetesif:●Macroalbuminuriaispresent;(B)or●Microalbuminuriaispresentinthepresenceofdiabeticretinopathy,(B)intype1diabetesofatleast10years’duration.(A)寿掏淋娘串俞自乱淬沏键挡粱柠麻枪碾使虚簇称抒赎布恐汉伞厌掠卑丛韭糖尿病CKD指南糖尿病CKD指南DefinitionsofAbnormalitiesinAlbuminExcretion末印煌甭仪柏生单褥沽柏朴馒秉热仙讥都泵陶矩霸鹿铅牟截犯撒牧琶力褪糖尿病CKD指南糖尿病CKD指南GUIDELINE1:SCREENINGANDDIAGNOSISOFDIABETIC (s)ofCKDshouldbeconsideredinthepresenceofanyofthefollowingcircumstances:(B)●Absenceofdiabeticretinopathy;●LoworrapidlydecreasingGFR;●Rapidlyincreasingproteinuriaornephroticsyndrome;●Refractoryhypertension;●Presenceofactiveurinarysediment;●Signsorsymptomsofothersystemicdisease;●>30%reductioni