Pre-Dialysis: Retarding Progression
and Reducing the Comorbid Burden in Renal Disease
Diabetic renal disease should be the focus
of efforts to reduce the incidence of ESRF by effective
glycaemic and blood pressure control, use of ACE inhibitors
and cessation
of smoking.
The needs of the Asian community require
special attention as they are at particular risk from
diabetes and diabetic nephropathy.
Diabetic patients who develop proteinuria
(nephropathy) should be referred for local diabetology/ophthalmology
assessment at an early stage. Guidelines for timely referral
into nephrology should be agreed locally.
Efforts to achieve the standards in the
National Service Framework for Coronary
Heart Disease for reducing cardiovascular risks in the
population should be
vigorously supported.
Efforts to implement the recommendations
in the National Service Framework for Diabetes should
be supported.
Since Primary Care is well placed to deliver
these standards, adequate resources should be made available
to allow them to succeed.
NHS Performance
• Health Improvement • Fair Access • Health Outcomes
