March 12, 2010 is the fifth World Kidney Day, the theme is "Control Blood Glucose, Protect Your Kidney". Which shows that the World Health Organization attaches great importance to diabetic nephropathy. With the improvement of people's living standards, the prevalence of diabetes increased year by year. For type 1 diabetes, the prevalence of diabetic nephropathy is about 50%; type 2 diabetes is about 20 to 30%. In most cases, early symptoms are not obvious, when the development has been developed to the stage of renal failure. So for diabetic nephropathy to try to do early detection, early treatment, and try to prevent the occurrence of diabetic nephropathy.
Diabetic nephropathy generally includes five stages: glomerular hyperfiltration, no clinical manifestations of renal impairment, early diabetic nephropathy, clinical diabetic nephropathy, end stage renal failure. Diabetic nephropathy is preventable, as long as early detection of kidney damage, reasonable protection, it will delay the progress of diabetic nephropathy. Although Liu suffering from diabetes for many years, but the common sense of diabetes and kidney disease is not understood. So, if there are the following symptoms to be alert!
1. Protein appears in urine. Patients often seek medical advice: "urine bubble more?" This is caused by diabetes and other microvascular damage caused by diabetes, urinary protein phenomenon was intermittent early appeared after exercise. If there is no rest, and after exercise or further increase in urinary protein, known as sports proteinuria. At present, more through the urine of microalbuminuria (random urine urine albumin or urinary albumin and urinary creatinine ratio), early detection of diabetic nephropathy. If the patient appears urinary microalbumin, said early diabetic nephropathy, should strengthen the treatment to slow the development of diabetic nephropathy.
2. nocturia increased. Patients will also be asked by the doctor: "nocturia more?" (Nocturia is not the number of urination, but the amount of nighttime urine than during the day or more than 750ml of urine). Nocturia increased renal tubular function due to damage, indicating that the kidneys have been involved. Normal daytime urine output more than nocturnal urine output, when the renal tubular damage when the concentration decreased, there increased nocturia.
3. If diabetic patients with edema, hypertension, anemia and other symptoms, it shows that diabetic nephropathy has developed to a more serious degree. It is possible to have reached the stage of diabetes V, and should be treated assoon as possible kidney replacement therapy.
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