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Review
. 2002 Sep 3;167(5):499-503.

Microalbuminuria in diabetes mellitus

Sheldon W Tobe  1 , Philip Alan McFarlane, David Malcolm Naimark
Affiliations
Review

Microalbuminuria in diabetes mellitus

Sheldon W Tobe et al. CMAJ. .
No abstract available

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Figures

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Fig. 1: Guidelines for screening microalbuminuria in patients with diabetes mellitus. BP = blood pressure, ACE = angiotensin-converting-enzyme, CDA = Canadian Diabetes Association.
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Fig. 2: Prevention of progression of renal disease in people with diabetes mellitus. ARB = angiotensin II receptor blocker, ESRD = end-stage renal disease.
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Fig. 3: Possible algorithm for controlling blood pressure in diabetic patients with microalbuminuria. [This algorithm is based on the opinions and practice of the authors.] CCB = long-acting calcium-channel blocker. *On the basis of results of recent clinical trials, start with an ARB or ACE inhibitor. †Possible agents to add are a long-acting dihydropyridine CCB, and a β-blocker if necessary; another possibility instead of these agents is a nondihydropyridine CCB, with no β-blocker, particularly if the patient's heart rate is greater than 80 beats/min.
See this image and copyright information in PMC

Comment in

  • Children are not small adults.
    Dean H, Sellers E, Birk P, Blydt-Hansen T, Ogborn M. Dean H, et al. CMAJ. 2003 Feb 4;168(3):255-6; author reply 256. CMAJ. 2003. PMID: 12566324 Free PMC article. No abstract available.

References

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    1. Tan MH, MacLean DR. Epidemiology of diabetes mellitus in Canada. Clin Invest Med 1995;18:240-6. - PubMed
    1. Young TK, Reading J, Elias B, O'Neil JD. Type 2 diabetes mellitus in Canada's First Nations: status of an epidemic in progress [review]. CMAJ 2000;163:561-6. - PMC - PubMed
    1. 2000 CORR report — dialysis and renal transplantation, Volume I. Ottawa: Canadian Institute for Health Information; 2001.
    1. Krolewski AS, Laffel LM, Krolewski M, Quinn M, Warram JH. Glycosylated hemoglobin and the risk of microalbuminuria in patients with insulin-dependent diabetes mellitus. N Engl J Med 1995;332:1251-5. - PubMed

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