Purpose of ReviewThe purposes of this review are to identify population characteristics of important risk factors for the development and progression of diabetic kidney disease (DKD) in the United States and to discuss barriers and opportunities to improve awareness, management, and outcomes in patients with DKD.Recent FindingsThe major risk factors for the development and progression of DKD include hyperglycemia, hypertension, and albuminuria. DKD disproportionately affects minorities and individuals with low educational and socioeconomic status. Barriers to effective management of DKD include the following: (a) limited patient and healthcare provider awareness of DKD, (b) lack of timely referrals of patients to a nephrologist, (c) low patient healthcare literacy, and (d) insufficient access to healthcare and health insurance.SummaryIncreased patient and physician awareness of DKD has been shown to enhance patient outcomes. Multifactorial and multidisciplinary interventions targeting multiple risk factors and patient/physician education may provide better outcomes in patients with DKD.Electronic supplementary materialThe online version of this article (10.1007/s11892-018-0980-x) contains supplementary material, which is available to authorized users.

Posthatch larval crayfish (Procambarus clarkii) were unilaterally antennulectomized and maintained in the laboratory for a 6‐month period, during which time all regenerating antennular stumps were periodically excised. In another group of animals at a similar developmental stage a heteromorphic antennule was induced on the side of the head ipsilateral to the chronically sectioned normal antennule. After 6 months, all experimental animals were sacrificed and their brains were fixed and sectioned. Computer‐aided quantitative measurements were obtained for the volumes of the olfactory lobes on both the experimental and control sides of the brains of both groups of crayfish. In the brains of the crayfish group in which only chronic antennualectomy had been performed, the olfactory lobe ipsilateral to the lesion was reduced in volume by about 80% compared to the olfactory lobe on the control side. In animals in which the normal antennule had been chronically ablated, but which possessed a heteromorphic antennule on the same side, the olfactory lobe on the lesioned side differed in volume from the control side by a mean value of only 28%. We conclude that afferent fibers from a heteromorphic antennule ipsilateral to a chronically lesioned normal antennule can assume some of the central trophic functions of the afferents from the normal antennule; thus, the presence of a heteromorphic antennule offers some measure of protection from the dystrophic effects of chronic ablation of the normal antennule during development and growth in crayfish. J. Exp. Zool. 286:90–96, 2000. © 2000 Wiley‐Liss, Inc.