Treatment and impact of dyslipidemia in diabetic nephropathy

被引:37
作者
Toyama, Tadashi [1 ]
Shimizu, Miho [1 ]
Furuichi, Kengo [1 ]
Kaneko, Shuichi [2 ]
Wada, Takashi [1 ,3 ]
机构
[1] Kanazawa Univ Hosp, Div Nephrol, Kanazawa, Ishikawa, Japan
[2] Kanazawa Univ, Dept Dis Control & Homeostasis, Inst Med Pharmaceut & Hlth Sci, Kanazawa, Ishikawa, Japan
[3] Kanazawa Univ, Dept Lab Med, Inst Med Pharmaceut & Hlth Sci, Kanazawa, Ishikawa, Japan
关键词
Diabetic nephropathy; Dyslipidemia; Cardiovascular disease; End-stage renal disease; KIDNEY-DISEASE; LIPID NEPHROTOXICITY; METABOLIC SYNDROME; CLINICAL-PRACTICE; RENAL-DISEASE; RISK; LIPOPROTEINS; CHOLESTEROL; PROGRESSION; OUTCOMES;
D O I
10.1007/s10157-013-0898-1
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Recent epidemiological research revealed that dyslipidemia is a risk factor for development and progression of diabetic nephropathy. Results from interventional studies revealed the possibility that anti-hyperlipidemic agents have a better effect on diabetic nephropathy through improvement of albuminuria and loss of renal function. In addition, dyslipidemia may be a consequence of albuminuria and renal dysfunction, thereby perpetuating kidney damage. Today, the proportion of diabetic patients receiving statins is increasing due to their beneficial effect on cardiovascular mortality. However, treatment for patients should be determined based on consideration of the risk and benefit of the treatment. More insight into the pathogenesis of diabetic nephropathy and the effects of life-style changes is required.
引用
收藏
页码:201 / 205
页数:5
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