糖尿病肾病的防治策略课件 .pptx

糖尿病肾病的防治策略;糖尿病病程（年）;;糖尿病肾病已经成为终末期肾病的主要原因;Kimmelstiel-Wilson Node;;;;尿常规; 糖尿病肾病 : 预防 治疗;发病机制;糖尿病肾病的降血糖治疗(A); Kumamoto Study; DCCT 结果;UKPDS控制血糖研究: 强化控制血糖组：FBS 110mg/dl 常规组：饮食控制，如果有症状或FBS270mg/dL， 加降糖药物 结果 强化组 常规组 HbA1c 7.0% 7.9% FBS 7.3 9.0 mmol/L;UKPDS结果:控制血糖;UKPDS强化组与常规组比较;三项研究强化组血糖，HbA1c结果 HbA1c FBS MBS DCCT 7.2 7.0 8.6 UKPDS 7.0 7.3 Kumamoto 7.1 7.0 8.7 ;糖尿病肾病的降血压治疗(A) ;UKPDS: 控制血压的结果;延缓T2DM肾病进展的建议;ACEI和ARB作用于RAS和KKS系统;对RAS系统阻断的差异：ACEI vs ARB;RAS系统阻断-肾保护作用的关键;ACEI 还是 ARB ？;ADA，Diabetes Care,2007,30(Suppl 1):S4-41;ADA，Diabetes Care,2007,30(Suppl 1):S4-41;ACEI;ACEI和ARB联合治疗;Steno-2 研究;强化治疗组的干预措施;第8年生化危险因素;STENO-2;微血管并发症;ADA，Diabetes Care,2007,30(Suppl 1):S4-41;低蛋白饮食改善DN患者预后; 戒 烟;纠正血脂异常; Thanks;1、Genius only means hard-working all ones life. (Mendeleyer, Russian Chemist)? 天才只意味着终身不懈的努力。20.8.58.5.202011:0311:03:10Aug-2011:03 2、Our destiny offers not only the cup of despair, but the chalice of opportunity. (Richard Nixon, American President )命运给予我们的不是失望之酒，而是机会之杯。二〇二〇年八月五日2020年8月5日星期三 3、Patience is bitter, but its fruit is sweet. (Jean Jacques Rousseau , French thinker)忍耐是痛苦的，但它的果实是甜蜜的。11:038.5.202011:038.5.202011:0311:03:108.5.202011:038.5.2020 4、All that you do, do with your might; things done by halves are never done right. ----R.H. Stoddard, American poet做一切事都应尽力而为，半途而废永远不行8.5.20208.5.202011:0311:0311:03:1011:03:10 5、You have to believe in yourself. Thats the secret of success. ----Charles Chaplin人必须相信自己，这是成功的秘诀。-Wednesday, August 5, 2020August 20Wednesday, August 5, 20208/5/2020 6、Almost any situation---good or bad---is affected by the attitude we bring to. ----Lucius Annaus Seneca差不多任何一种处境---无论是好是坏---都受到我们对待处境态度的影响。11时3分11时3分5-Aug-208.5.2020 7、Although the world is full of suffering, it is full also of the overcoming of it.----Hellen Kell