Is Diabetic Nephropathy Preventable?

  • Eli A. Friedman
Part of the Developments in Nephrology book series (DINE, volume 9)


In 1975 Goodman and Schung reported the incidence of diabetes mellitus in North America to be approximately 1.5% to 2.5% [1]. Depending on diagnostic criteria employed, an additional 3% of Americans (total 5% to 6%) are diabetic. The financial toll imposed by diabetes on the health-care system is enormous. About one-third of hospitalized patients on a medical service are diabetic. More than one-quarter of new dialysis and kidney-transplant patients are diabetic. The cost of diabetic care can be measured in terms of the macrovascular and microvascular complications resulting from long-term diabetes, especially nephropathy and retinopathy.


Glomerular Filtration Rate Diabetic Nephropathy Glomerular Basement Membrane Continuous Subcutaneous Insulin Infusion Renal Plasma Flow 
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© Martinus Nijhoff Publishing, Boston 1986

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  • Eli A. Friedman

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