Although diabetes and hypertension are responsible for the vast majority of CKD cases, there are other systemic diseases like lupus and rheumatoid arthritis, can also cause glomerulosclerosis.

尽管糖尿和高血压是主要因，也有其他疾如狼疮、类风关节炎能导致小球硬化。

The second most common cause of CKD is diabetes, excess glucose in the blood starts sticking to proteins in the blood — a process called non-enzymatic glycation because no enzymes are involved.

二大因是糖尿，血液中过多葡萄糖黏附于血液中蛋白质上，该过程叫非酶糖基化过程，因为该过程不涉及酶。