A review on clinical pharmacist care for management of Diabetic Nephropathy in clinical practice

  • Posted on: 30 June 2017
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PharmaTutor (July - 2017)


ISSN: 2347 - 7881
(Volume 5, Issue 7)


Received On: 27/02/2017; Accepted On: 27/03/2017; Published On: 01/07/2017


M.S.Umashankar*,K.S.Lakshmi,A.Bharath Kumar,A.Porselvi
Department of PharmacyPractice
SRM College of Pharmacy,SRM University,
Kattankulathur, Tamilnadu, India



Diabetic nephropathy is a type of progressive kidney disease that may occur in people who have diabetes. It affects people with type 1 and type 2 diabetes and risk increases with the duration of the disease and other risk factors like high blood pressure and a family history of kidney disease.Kidney is made of hundreds of thousands of small units called nephrons.These structures filter the blood and helps to remove waste from the body, and control fluid balance.Clinical conditions we can investigate the symptoms like Persistent albuminuria (>300 mg/d or >200 μg/min) that is confirmed on at least 2 occasions 3-6 months and Progressive decline in the glomerular filtration rate,severe tiredness,headaches,general feeling of  illness,frequent voiding, lack of appetite, itchy skin, and leg swelling.Diabetic nephropathy is diagnosed after a routine urinalysis and screening for microalbuminuria and fasting,random blood sugar level,glomeluar filteration rate,serum creatinine,creatinine clearance is used to confirm the disease.Reduction of  kidney damage by controlling blood sugar levels,controlling blood pressure through the eating healthy foods and getting regular exercise.The evidence suggest that  approaching early treatment,regular Patient follow-up will delays and prevents the onset of diabetic nephropathy.Clinical Pharmacist having significant role in providing education on disease related issues and he work with both the patient and physician to ensure that patient is to achieve optimal blood pressure, blood glucose, and lipid control, and that other risk factors and lifestyle  modifications are being addressed.Appropriate control of their diabetes with nephropathy can be influenced through proper education and counselling by the clinical Pharmacists in clinical care.



How to cite this article: Umashankar MS,Lakshmi KS, Kumar AB, Porselvi A;A review on clinical pharmacist care for management of Diabetic Nephropathy in clinical practice; PharmaTutor; 2017; 5(7); 7-15



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