Table 2.

Treatment strategy for renal protection

Intervention	Therapeutic goal
Angiotensin converting enzyme inhibitor or Angiotensin receptor blocker (consider combination if goal not achieved with monotherapy)	Proteinuria less than 0.5 gms/day GFR decline less than 2ml/mt/yr
Dietary protein restriction	0.6-0.8 gms/kg/day
Additional antihypertensive therapy	BP <130/80 mm of Hg
Dietary salt restriction (in presence of hypertension)	3-5 gms/day
Tight glycemic control	Hb A1c <6.5%
Reduce elevated calcium phosphate product	Normal values
Lipid lowering therapy	LDL-C less than 100 mgm/dl
Anti platelet therapy	Thrombosis prophylaxis
Correction of anaemia	Hb more > 12 gms%
Smoking cessation	Abstinence
Weight control	Ideal body weight
Prevent urinary tract infection as in reflux nephropathy