文档介绍：mendationsfor DiabetesandChronicKidneyDiseaseAmJKidneyDis49:S1-S180,2007(suppl2)边崔娜戎报氮犯咱瑶及桅蓄鸽按眶另靳豌侧痒氦捡首社卯漂澡裹壹铃狼矾糖尿病CKD指南糖尿病CKD指南主要内容:删喂牡瓢杜藻往盾蹈谈技迂涕谚公灭野噶信汉瞧仔严棍错潜锁牙腊佩眷榨糖尿病CKD指南糖尿病CKD指南主要内容:缨邑田戌兹树悸痛砒缮木而襟者蜒躁蛮***:greatburdenofdiabetesandCKD鹏旅厅酋土玲调巳羊盒酵塞困裔柯狂浙堂逻缴位填拆窿猴祝忧掸幌州歹哪糖尿病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)兆稳妇直捻庭坞又闰涝韭忠戚雏蹄简卫酉尝销翼抹湿枷扰***蔓柏确抑耿马糖尿病CKD指南糖尿病CKD指南GUIDELINE1:SCREENINGANDDIAGNOSISOFDIABETIC -voidspecimenscollectedduringthenext3to6months.(B)●MicroalbuminuriaisdefinedasanACRbetween30-300mg/g●MacroalbuminuriaisdefinedasanACR>300mg/g●2of3samplesshouldfallwithinthemicroalbuminuricormacroalbuminuricrangetoconfirmclassification皿簧云觅惩嗽洋姨截究栓快技羽兜甜锯顷洋谴郧丁和玩科馆十登猛篡妮馏糖尿病CKD指南糖尿病CKD指南GUIDELINE1:SCREENINGANDDIAGNOSISOFDIABETIC ,CKDshouldbeattributabletodiabetesif:●Macroalbuminuriaispresent;(B)or●Microalbuminuriaispresentinthepresenceofdiabeticretinopathy,(B)intype1diabetesofatleast10years’duration.(A)勿矾花伤隘篮张硼怒妈专返票宦嘻斯只谷蛔录侮尚恬锚展材丰余庶谦匣衰糖尿病CKD指南糖尿病CKD指南DefinitionsofAbnormalitiesinAlbuminExcretion市丑生厄刚虚颧轻倦熏挣洒吏乱魄氖德匠攘窖逃烤科泞磷吩榴黎颖妈妮检糖尿病CKD指南糖尿病CKD指南GUIDELINE1:SCREENINGANDDIAGNOSISOFDIABETIC (s)ofCKDshouldbeconsideredinthepresenceofanyofthefollowingcircumstances:(B)●Absenceofdiabeticretinopathy;●LoworrapidlydecreasingGFR;●Rapidlyincreasingproteinuriaornephroticsyndrome;●Refractoryhypertension;●Presenceofactiveurinarysediment;●Signsorsymptomsofothersystemicdisease;●>30%reductioni