Diabetic nephropathy is diabetes, a systemic microvascular disease and one of the disease, so the occurrence of diabetic nephropathy, microangiopathy is not often combined with other organs or systems, such as diabetic retinopathy and peripheral neuropathy. Then, diabetic nephropathy patients how to choose hypoglycemic drugs?
First of all, diabetic nephropathy patients should to prevent hypoglycemia. Hypoglycemia is a common phenomenon in diabetic nephropathy patients who use hypoglycemic agents. The clinical manifestations of hypoglycemia are hunger, dizziness, weakness, weakness, palpitation, irritability, even coma. Patients should carry sweets, juices and other sugary foods while they are out to eat in a timely manner.
Second, we should actively treat insulin allergy, insulin allergy phenomenon is relatively small, but it should also pay attention to. The clinical manifestations of insulin allergy to local skin rash itching, gastrointestinal reaction and so on, if there is an allergic reaction, on the body more harm, should immediately use antihistamines and corticosteroids or desensitization therapy.
Third, diabetic nephropathy patients should be regularly replaced with insulin injection site. In patients with diabetic nephropathy due to malnutrition, often associated with fat, in a part of the new long-term injection of insulin, will cause the injection site, subcutaneous fat atrophy or hypertrophy, therefore, should be regularly replace the injection site, not in the same part of continuous injection.
Diabetic nephropathy patients, if the kidney function is not good, for the class of hypoglycemic drugs can not be used, and its production of lactic acid can not be discharged through the kidneys, so harmful to humans. Diabetic nephropathy patients, when choosing hypoglycemic drugs, should try to select some small excretion of drugs through the kidneys.
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