Incidence of Diabetic Nephropathy, Its Etiology, Its Article Critique

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incidence of diabetic nephropathy, its etiology, its comorbidities, and how to control it. The best type of 'cure' is, as always, prevention, and close regulation of the disease which is particularly important since diabetic nephropathy can be fatal.

Diabetic nephropathy is the primary etiology of chronic kidney disease and kidney failure. Unfortunately, type 2 diabetes mellitus is skyrocketing in the United States alone to over 21 million cases, it is imperative for health care professionals to understand the mechanisms of diabetic nephropathy. This is particularly so since early recognition and prevention of the disease as well as tight serum glucose control can help prevent diabetic nephropathy from occurring thereby leading to potentially longer life for its carriers.

The authors describe the characteristics and etiology of diabetic nephropathy explaining how and why it can result in kidney disease and kidney failure.

Understanding these mechanisms can help us prevent kidney failure from occurring since the way to do so is by monitoring serum concentrations of AGEs so that nephropathy can be caught in its early stages.

Education on diabetes is important not only for nurses but also for patients and should be ongoing covering all aspects of the disease. It is also crucial that the health care provider act in a trusting and supportive manner towards the patient.

Since curing and regulating the disease is so difficult, the best step is prevention, and type 2 diabetes can be prevented by diet, exercise, and medications. Following that, and in the case of diabetes, rigid control of hyperglycemia prevents diabetic nephropathy. And even in the worst cases, renal replacement therapy should be accompanied with intensive emotional support from the nurse team and intensive glycemic control.

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Early detection of the disease not only prevents possible fatality but also huge economic burden and endless suffering and travail.

b. Critique the article -- for example, what is the strength of the evidence, is it supported by the literature, how clearly was the article written, what more could be said, what was clearly explained, etc. (1 page)

The Abstract provided a clear summation of the article. However, the Abstract left out salient points of the article, for instance omitting the importance of patient receiving close emotional support from the nurse team -- a point that was covered more than once and seemed to be salient to the topic.

The article, as a whole, was clear, but I thought that it would benefit more from subheadings and that it seemed to zigzag back and forth in no clear direction. It may, in fact, have benefitted form an Introduction that would have served to have tied the article together and given the reader direction regarding the points that it would cover.

The meandering of the essay can be seen in the way that it described the etiology of nephrology before explaining how it could lead to kidney failure that could be best detected and regulated by measuring serum concentrations of AGEs. The etiology and mechanisms of the disease was clearly described in a way that the average reader could understand. The authors remark that "This test, however, is far from being available in general medical reference laboratories," and proceed to abruptly describing end-stage kidney failure and ending the….....

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