Diabetic nephropathy: Paricalcitol lowers residual albuminuria in type 2 diabetes

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Paricalcitol for reduction of albuminuria in diabetes.

Albeit based on robust methods, the study by Dick de Zeeuw and colleagues (Nov 6, p 2010) raises several concerns. First, little attention is given to the fact that the primary endpoint— ie, the eff ect of the vitamin D receptor activator (VDRA) on urinary albuminto-creatinine ratio (UACR)—is actually negative. The positive results on secondary endpoints should thus be used only to generate new...

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Telmisartan lowers albuminuria in type 2 diabetic patients treated with angiotensin enzyme inhibitors.

PURPOSE Angiotensin-converting-enzyme inhibitors (ACEIs) provide renal protection in patients with type 2 diabetes and microalbuminuria. MATERIAL AND METHODS In the presented study we followed 34 stable, type 2 diabetic patients with persistent albuminuria treated with maximal doses of ACEIs as a part of their anti-hypertensive treatment. Telmisartan--an angiotensin receptor blocker (ARB)--in...

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It is an irony of medical progress that the renal involvement in diabetes mellitus type 2 had been considered twenty years ago (1) as a benign condition for the kidney without causing renal function loss greater than expected from the “normal” aging process. In contrast, today it has become the single most common cause of end-stage renal disease (ESRD) in the entire Western world (2–4). Apart f...

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ژورنال

عنوان ژورنال: Nature Reviews Nephrology

سال: 2011

ISSN: 1759-5061,1759-507X

DOI: 10.1038/nrneph.2010.183