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Chapter-13 Pregnancy in a Woman with Diabetic Nephropathy

BOOK TITLE: Clinical Guidelines for Management of Diabetes in Pregnancy

Author
1. Singh Narinder Pal
2. Kumar Anish
ISBN
9789352703951
DOI
10.5005/jp/books/18049_14
Edition
1/e
Publishing Year
2018
Pages
12
Author Affiliations
1. Max Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India
2. Max Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India
Chapter keywords
Diabetes, diabetic nephropathy, end-stage renal disease, ESRD, chronic kidney disease, glomerular filtration rate, GFR, renal replacement therapy, diabetic kidney disease

Abstract

The incidence and prevalence of diabetes throughout the world are rising, leading to an increase in the incidence and prevalence of diabetic nephropathy. Currently, more than 50% of patients with end-stage renal disease (ESRD) have diabetes. Although diabetes is less common among women of child-bearing age, the number of women entering pregnancy with diabetes is rising and developing kidney disease. It is usually due to classic diabetic nephropathy, which is characterized by albuminuria and progressive chronic kidney disease (CKD; i.e. proteinuria, hematuria or decreased glomerular filtration rate (GFR) for 3 or more months, irrespective of cause). This chapter covers the effect of pregnancy on diabetic kidney disease, effect of diabetic kidney disease on pregnancy, management principles, management during pregnancy, comorbidities, renal replacement therapy in pregnancy, and pregnancy in renal transplant patient.

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