Lancet 2013; 382: 339
Lancet Diabetes Endocrinol 2014; 2: 801
whether an intensive lifestyle interventionaffects the development of nephropathyin people with type 2 diabetes
Cu
mu
lati
ve in
cid
ence
of
very
-hig
h-r
isk
chro
nic
kid
ney
dis
ease
(%
)
JAMA 2002;288:2421
CMAJ 185, 949, 2013
Composite outcome: doubling of serum creatinine level and 50% decline in glomerular filtration rate, or end-stage kidney disease.
Diabetes Care 2016;39:694
Intensive: gliclazide based intensive glucose control regimen, aiming for an HbA1c level of 6.5%.
Circulation 2019;139:2022
hospitalization for: new-onset macroalbuminuria sustained doubling of serum creatinine or a 40% decline in estimated glomerular filtration rate, end-stage kidney disease, or death of renal cause.
Hazard ratio
Renal-specific composite outcome of end stage kidney disease, doubling of serum creatinine level, or renal death.
N Engl J Med 2019;380:2295
J Clin Endocrinol Metab 103: 4491, 2018
Am J Kidney Dis 71: 166; 2018
J Am Coll Cardiol 2019;74:1465
J Am Coll Cardiol 2019;74:1465
J Am Coll Cardiol 2019;74:1465
J Am Coll Cardiol 2019;74:1465
J Am Coll Cardiol 2019;74:1465
Atherosclerosis 220 (2012) 201
Cardiovascular mortality associated with normal (eGFR−) or impaired eGFR (eGFR+) and absence (P−) or presence of proteinuria (P+)
Atherosclerosis 220 (2012) 38
Lancet 2013; 382: 339
Lancet 2013; 382: 339
Lancet 2013; 382: 339