Abstract
The evolution of diabetic renal disease is hardly affected by correction of the metabolic disturbance of diabetes [1] and appears to recognize other determinants of progression [2]. Levels of arterial pressure seem important in this respect and have been shown to influence considerably the rate of decline of the glomerular filtration rate (GFR) [3, 4]. This supports the view that hemodynamic factors may have become predominant at this stage of nephropathy [5] and suggests that maneuvers capable of modifying renal and/or systemic vascular dynamics may have independent beneficial effects on the relentless deterioration of renal function in this condition.
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Viberti, G.C., Dodds, R.A., Bending, J.J., Bognetti, E. (1988). Nonglycemic Intervention in Diabetic Nephropathy: The Role of Dietary Protein Intake. In: Mogensen, C.E. (eds) The Kidney and Hypertension in Diabetes Mellitus. Topics in Renal Medicine, vol 6. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1974-1_25
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DOI: https://doi.org/10.1007/978-1-4757-1974-1_25
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4757-1976-5
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