BIOCHEMICAL MONITORING OF DIABETIC-PATIENTS

Tight metabolic control as assessed by estimation of glycated hemoglob in or albumin seems to be the main prophylactic factor in the preventi on of most diabetic complications. By regular monitoring of the kidney size, GFR, and urinary albumin excretion, detection of early (reversi ble) diabetic nephropathy is possible. By appropriate dietary (protein restriction) and pharmacological (ACEI, antihypertensive drugs) treat ment development of overt diabetic nephropathy may be prevented or mar kedly slowed.