Often hear some diabetes patients said recently walking, leg swelling, night is not swelling. In fact, this leg swelling may be caused by diabetic nephropathy, but many patients with diabetes because there is no other obvious symptoms of discomfort, it is easy to ignore this kind of nephrotic edema.
Leg edema is an early warning signal of diabetic nephropathy, but there are other diseases, such as heart failure, liver failure or poor renal function, also can cause lower extremity edema. Experts suggest that diabetic patients may wish to refer to diabetic nephropathy caused by edema of the order: first, the lower limbs edema, and then the eyelids and facial edema, and finally developed to systemic edema. If edema is not in accordance with this order, it is necessary to go to other departments in a timely manner to clear the condition.
From the clinical point of view, no matter what type of diabetes, the incidence of diabetic nephropathy with the extension of the duration of the disease, the course of more than 5 years, the incidence of diabetic nephropathy will reach about 50%. Therefore, even in patients with normal renal function, there is no clinical performance, each year to carry out a test of urinary albumin, urine routine and renal function tests. If the eyelid or lower extremity edema, should be more attention, to go to the hospital for detailed examination immediately, in the early stage of diabetic nephropathy renal function changes before and immediately adjust the treatment plan, try to choose after oral hypoglycemic agents or insulin therapy for renal metabolism.
Of course, although diabetic nephropathy is very common, but people with diabetes or kidney changes are not necessarily caused by diabetes, so the diabetes patients appeared further etiological diagnosis should be proteinuria, edema, in order to choose the right treatment.
Beijing In China