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Prevention of CKD in patients with renal stone disease - โรงพยาบาล ...

Prevention of CKD in patients with renal stone disease - โรงพยาบาล ...

Prevention of CKD in patients with renal stone disease - โรงพยาบาล ...

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A Comprehensive Strategy for Renoprotection <strong>in</strong>Patients <strong>with</strong> Diabetic Nephropathy– Early and Late5. Smok<strong>in</strong>g cessationIntervention1. ARB or ACEI treatment (considercomb<strong>in</strong>ation if goals not achieved <strong>with</strong>monotherapy)2. Additional antihypertensive therapy3. Dietary prote<strong>in</strong> restriction4. Tight glycemic control6. HMG CoA-reductase<strong>in</strong>hibitor (stat<strong>in</strong>(stat<strong>in</strong>)7. Dietary salt restrictionTherapeutic GoalProte<strong>in</strong>uria < 0.5 g/day< 130/80 mmHg0.6 – 0.8 g/kg/dayHbA 1C < 7%Abst<strong>in</strong>enceLDL < 100 mg/dL3 – 5 g/day

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