Hypertension is a common development with the onset of diabetic nephropathy or shortly thereafter. At present, no known interventions have been shown to reverse clinical diabetic nephropathy. Achievement of good glycemic control, without undue side effects from hypoglycemia, in all diabetic patients. Diabetic nephropathy should receive yearly eye examinations. Cardiovascular risk factors should be assessed.
Cigarette smoking is discouraged.
Treatment of other causes of renal disease, particularly obstructive uropathy and infection is required. Prompt treatment of any urinary tract infections is essential. Repeated urine cultures after treatment should be preformed to ensure resolution. Cardiovascular Disease Occurrence. Cardiovascular disease is the leading cause of morbidity and mortality among persons with diabetes.