What is the treatment of diabetic nephropathy? Diabetic nephropathy is due to diabetes, long-term increased blood sugar caused by kidney damage, diabetes is the most common and most dangerous complications. The focus of the military diabetes treatment center experts said that the generalized diabetic nephropathy refers to the occurrence of diabetic patients with a variety of kidney disease, including infection, ischemia, etc., narrowly defined diabetic nephropathy due to high blood sugar caused by renal tuberous sclerosis Of the renal lesions. What is the comprehensive treatment of diabetic nephropathy?
1, early detection of diabetic nephropathy: early diabetic nephropathy can not see through the urine routine, so only 24-hour urine microalbumin on a regular basis to check, so that early detection of early diabetic nephropathy, early treatment of renal disease can be reversed. Both patients with type 1 diabetes and type 2 diabetes need to be examined at least once a year.
2, control of blood pressure: for type 1 diabetes patients, most of the hypertension are secondary to diabetic nephropathy, and type 2 diabetes, there are many high blood pressure and diabetes coexist. But in any case, hypertension, in turn, could further aggravate diabetic nephropathy. Therefore, control of blood pressure in diabetic nephropathy is very important. Especially for patients with type 1 diabetes, if early control of blood pressure in nephropathy may delay the development of advanced renal failure more than 10 to 20 years.
3, antihypertensive drug selection: Many types of drugs to control blood pressure, in which conversion enzyme inhibitors (ACEI) is often the best choice, because it can lower blood pressure, but also improve diabetic nephropathy.
4, protein intake limit: a diabetic nephropathy, reduce protein intake of food, can reduce the burden on the kidneys, delaying the development of nephropathy. The reduced protein portion of the food is usually supplemented by carbohydrates.
4, eating high-quality protein: limit protein intake, protein intake is not prohibited, because the protein is, after all, the human body needs the necessary nutrients. At this point moderate eating quality protein is the best choice. On the one hand, food intake is not large, no increase in the burden on the kidneys, on the other hand high-quality protein can meet the body's protein needs. High-quality protein include: fish, lean meat, eggs and so on.
5, control of blood lipids: like all other chronic complications of diabetes, blood lipids is always a factor, so in order to make good prevention and treatment of diabetic nephropathy, you need to lipid, whether triglycerides, or cholesterol, try to control the normal .
6, dialysis: when the development of renal disease to uremia stage, when renal failure, the kidneys can not be the body's metabolic toxic excreted, then serum creatinine and urea nitrogen were significantly increased, in this case, only by dialysis Of the method to maintain the body's normal toxic excretion. In other words, the use of dialysis to sustain life.
7, blood sugar control: diabetes is a gradual process of development, once the clinical manifestations, and diabetic nephropathy has been difficult to cure, so the first treatment of diabetes
Measures is to control blood sugar. Because most of the oral hypoglycemic drugs need to be excreted through the kidneys (sugar flat, except sugar level), so when the kidney damage serious, should avoid the use of these drugs.
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