Diabetic nephropathy (DN) remains the leading cause of end-stage renal disease globally, affecting approximately 30β40% of individuals with diabetes and posing a significant health burden. Its pathogenesis is complex and multifactorial, including chronic hyperglycemia, hypertension-induced hemodynamic changes, oxidative stress, and inflammation, all of which contribute to glomerular injury, basement membrane thickening, albuminuria, and progressive renal dysfunction. Major risk factors contributing to the development and progression of DN include hyperglycemia, hypertension, obesity, dyslipidemia, smoking, advanced age, male sex, race/ethnicity, and genetic predisposition.
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