glomerular filtration rate increased from 12.4 to 38.6 ml/min/1.73m 2 , serum creatinine decreased from 3.2 to 1.9 mg/dL, hemoglobin rose from 8.8 to 10.6 g/dL, and proteinuria markedly reduced from 1.9 g/ 24h to near remission. Conclusion:Renal biopsy in diabetic patients revealed that more than half had NDRD, challenging the assumption that renal dysfunction is invariably due to DKD.Importantly, individualized management based on histopathological diagnosis led to significant improvements in renal function, hemoglobin levels, and proteinuria.These findings underscore the pivotal role of renal biopsy as a tool for precision medicine, guiding therapeutic decisions, and improving prognosis in diabetic patients with atypical presentations or rapid progression of kidney disease.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.
Tang et al. (Wed,) studied this question.