RT Journal Article SR Electronic A1 Hoyle, Brian T1 A New Paradigm in Diabetic Nephropathy: Early Progressive Renal Decline JF MD Conference Express YR 2014 FD SAGE Publications VO 14 IS 19 SP 4 OP 6 DO 10.1177/155989771419001 UL http://mdc.sagepub.com/content/14/19/4.abstract AB The microalbuminuria model of nephropathy in patients with type 1 diabetes mellitus (T1DM) may no longer be valid and may be replaced by the model of early progressive renal decline (EPRD), according to new data that support the latter. This article discusses EPRD as the new paradigm in nephropathy in patients with T1DM.