Introduction

Diabetic nephropathy is one of the leading cause of ESRD .It is also one of the most significant long term complications in terms of morbidity and mortality in patients with diabetes. Furthermore, prognosis in such patients is very poor compared with patients with ESRD due to other renal diseases. Diabetic nephropathy (DN) is suspected based on the presence of proteinuria, decline in GFR and elevation of blood pressure. Renal biopsy is not routinely performed in diabetic nephropathy patients. Recently, attention has been drawn to atypical presentation of diabetic and non diabetic glomerular diseases. Renal biopsy in proteinuric patients with diabetes mellitus is to confirm/exclude non-diabetic renal disease (NDRD). There are no standardized criteria for renal biopsy in DN, therefore doing a renal biopsy for patients with DN is the based on decision of the the treating nephrologist.

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Bhavya Dasara

Department of Nephrology, Gandhi Hospital, Hyderabad

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