Kidney Disease and Youth Onset Type 2 Diabetes: Considerations for the General Practitioner

Table 2

Recommended treatment targets that may reduce risk of nephropathy in youth with type 2 diabetes.

Clinical parameter	Intervention	Treatment target
Glycemic control	Lifestyle/Insulin/Metformin	HbA1c ≤ 7%
Prehypertension [44] (bp > 90th–95th)	Lifestyle	Bp < 90th percentile
Hypertension [44] (bp > 95th percentile)	Lifestyle ± Ace inhibitor or Angiotensin II Receptor Blocker	Bp < 90th percentile
Dyslipidemia LDL ≥2.6 mmol/L	Lifestyle	LDL < 2.6 mmol/L
Dyslipidemia LDL >4.1 mmol/L	Lifestyle + Statin	LDL < 2.6 mmol/L
Overweight and Obesity	Lifestyle	BMI < 85th percentile
Smoking	Cessation strategies	Nonsmoker