Diabetes damage to the kidneys is a slow process, and poor long-term glycemic control can affect the kidneys. Patients who are relatively eligible for both conditions are more likely to have kidney disease: people with a history of more than 5 years of diabetes and those older than 50 years of age. However, other people who have the same history of diabetes also have to pay attention to the examination of the kidneys.
Stages of diabetic nephropathy: hyperfiltration of kidney and hypertrophy of kidney - normal albuminuria - persistent microalbuminuria - diabetic nephropathy - end of renal failure.
Sustained blood glucose is an important cause of renal damage, controlling blood sugar is the first step to avoiding aggravation. One, diet control, in strict accordance with the principles of low-sugar, low-protein, low-fat diet, staple food to eat more coarse fiber foods, eat less fine foods. Two, regular medication, whether insulin or hypoglycemic, should be maintained, and intermittent treatment only exacerbates renal function due to high and low blood sugar levels.
Diabetic patients are usually accompanied by high blood pressure, long-term hypertension caused by internal water, sodium difficult to discharge, will increase the burden of the kidney, kidney damage will aggravate the rise in blood pressure, forming a vicious circle. Therefore, it is also important to keep blood pressure stable while controlling blood sugar. It is safe to control blood pressure at 130/80.
The typical characteristic of early diabetic nephropathy is microalbuminuria, long-term hyperglycemia damage renal tissue, leading to the decline of glomerular filtration, renal tubular reabsorption is destroyed, resulting in protein leakage into the urine to form proteinuria.Proteinuria will increase the destruction of glomerular filtration network, thereby increasing renal function. Therefore, diabetic patients must continue to monitor proteinuria level 24-hour urinary protein is best kept below 1 g.
Many patients are still willing to go to the hospital early review, after a period of time to give up. Treatment is a long-term process, especially diabetic nephropathy, a chronic disease that doesn't mean you don't care when you're done with it. And sugar kidney relative to other nephropathy easier to uremia, regular review of renal function, in order to achieve timely treatment, timely control of the disease, away from uremia.
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