The diabetic patient with renal insufficiency.

Diabetic mellitus is often complicated by nephropathy with progression to renal failure. Most patients with clinical diabetes who present with renal insufficiency have diabetic glomerulosclerosis, although some (particularly in Type 2 diabetes) present with other glomerular diseases. The purpose of this study was to provide practical recommendations for the management of patients with diabetes and renal failure and evaluate the prevalence of non-diabetic glomerulopathies in Type 2 diabetic patients. Various forms of glomerulonephritis have been associated with diabetes, occasionally leading to alternative management of these patients in attempts to reverse or contain renal failure.