For diabetic patients, the most terrible is not diabetes itself, but various diseases caused by diabetes, diabetic patients are most concerned about the occurrence of complications, of which diabetic nephropathy is one of the most serious complications. So how to prevent kidney damage caused by diabetes?
Once diagnosed with diabetes, routine urine tests should be carried out regularly, it’s best to take regularly 24 hours urine albumin or total protein determination, especially in patients with retinopathy or hypertension of diabetes. Second, limiting the total calorie intake, long-term and effective maintenance of normal blood glucose levels, is to prevent the main part of diabetic nephropathy, can reduce or eliminate renal damage due to metabolic disorders.
To achieve a low-protein diet, including early diabetic nephropathy with normal kidney function, protein intake should be adequately controlled as the high protein diet increases the patient's glomerular filtration rate and further increases the kidney burden in patients with early diabetic nephropathy. Urea nitrogen in more than 25mmol / L, protein intake should be controlled.
Avoid the use of drugs that are toxic to the kidneys, such as gentamicin, kanamycin, some antibiotics, various contrast agents, etc, and try to avoid catheterization and other urinary system equipment to prevent urinary tract infections.
Finally, actively control blood pressure, can delay the deterioration of renal function. For kidney disease patients with hypoproteinemia and accompanied by edema, the intake of protein can be increased under the condition of insulin therapy, but must be good protein, total calorie intake doesn't have to be too restrictive, which will help to improve plasma protein concentration, can reduce the degree of edema.