DIABETIC NEPHROPATHY AND HORMONAL IMBALANCE: PATHOPHYSIOLOGICAL FOUNDATIONS AND CLINICAL SIGNIFICANCE
Keywords:
diabetic nephropathy, hormonal imbalance, insulin, RAAS, cortisol, thyroid hormones, clinical significance.Abstract
Diabetic nephropathy (DN) is a chronic kidney disease that develops against the background of diabetes mellitus and is one of the most common causes of chronic kidney failure worldwide. This article analyzes the complex pathophysiological relationship between DN and hormonal imbalance, its clinical manifestations, and therapeutic strategies. The study examines how insulin, the renin-angiotensin-aldosterone system (RAAS), cortisol, thyroid hormones, and other hormones influence the development of DN. Additionally, a table is provided demonstrating the correlation between DN stages and hormonal imbalance.
Downloads
References
Thomas MC. Diabetic nephropathy: Pathogenesis and clinical features. Clinical Journal of the American Society of Nephrology. 2019;14(7):1054–1065.
Forbes JM, Cooper ME. Mechanisms of diabetic complications. Physiological Reviews. 2013;93(1):137–188.
Krolewski AS, et al. Insulin resistance and renal disease in type 2 diabetes. Diabetes Care. 2017;40(4):509–516.
Remuzzi G, et al. RAAS in diabetic nephropathy. Kidney International. 2020;97(1):12–22.
Stenvinkel P, et al. Cortisol and kidney disease. Nephrology Dialysis Transplantation. 2014;29(3):414–422.
Iglesias P, Díez JJ. Thyroid dysfunction and chronic kidney disease. Endocrine. 2009;36(1):1–9.
Thomas MC, et al. Clinical presentation of diabetic nephropathy. Current Opinion in Nephrology and Hypertension. 2015;24(1):31–39.
Navaneethan SD, et al. Therapeutic strategies in diabetic nephropathy. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2016;10(1):S63–S69.
Alicic RZ, Rooney MT, Tuttle KR. Diabetic kidney disease: Challenges, progress, and possibilities. Clinical Journal of the American Society of Nephrology. 2017;12(12):2032–2045.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in the Journal of Applied Science and Social Science (JASSS) is protected by copyright. Authors retain the copyright to their work, and grant JASSS the right to publish the work under a Creative Commons Attribution License (CC BY). This license allows others to distribute, remix, adapt, and build upon the work, even commercially, as long as they credit the author(s) for the original creation.