Patients with type 2 diabetes can prolong kidney health by meeting American Diabetes Association (ADA) target levels for hemoglobin A1c (HbA1c), BP, cholesterol, and triglycerides.

The multifactorial intervention proved successful in a study of 1,290 Chinese individuals with type 2 diabetes and normal albumin levels.

During the 4.5-year study, new-onset albuminuria developed in 211 patients (16.4%), researchers reported in Archives of Internal Medicine (2010;170:155-161).

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The achievement of three ADA goals in particular significantly reduced the risk for this occurrence:

  • HbA1c below 7% decreased the risk of new-onset microalbuminuria by 27.1%.
  • Systolic pressure below 130 mm Hg decreased risk by 35.5%. 
  • HDL cholesterol levels above 50 mg/dL for women and above 40 mg/dL for men decreased risk by 28.5%.