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Diabetic edema of lower extremities or nephrotic syndrome

2017-05-22 16:31

Diabetic nephropathy (DN) is a microvascular complication of diabetes mellitus. It is mainly characterized by glomerulosclerosis. It is a kind of glomerular lesion with vascular damage. Diabetic patients have diabetic nephropathy for about 20% to 30% years after the onset of disease, and most of them are chronic in 15 years. Because of the decrease of the renal blood flow, the retention of sodium and water leads to the increase of capillary permeability and the loss of excessive colloid proteins in urine, resulting in the decrease of plasma colloid osmotic pressure and edema.

diabetic nephropathy

Edema of the lower extremities is an early signal for diabetic nephropathy, but other diseases can also cause swelling in the lower extremities, such as heart failure, liver failure, or primary kidney disease. Unlike other diseases, the order of swelling in diabetic nephropathy is swelling of the lower extremities, followed by eyelid and facial swelling, and eventually swelling throughout the body.

The early symptoms of diabetic nephropathy are not obvious

Diabetic nephropathy is divided into five stages, the first three stages are early symptoms, manifested as lower leg and eyelid edema, urine color deepened, urinary foam increased, high blood pressure, nocturnal cramps in the legs, increased urination and so on. And develop to fourth, fifth period, can appear the dizziness that causes dizziness, eyesight is blurred symptom, serious or even occurrence disgusting, vomiting.

Disease can be effectively controlled and treated before the three phase of the disease. However, not everyone is as lucky as Uncle Wang to control the disease in the early days. In fact, most people do not have obvious symptoms in the early stage, and when they find out, they are already in the middle and late stages of disease and miss the reversible treatment stage.

The best friends of sugar every six months to do a urine test

Proteinuria is an important clinical marker of diabetic nephropathy, and approximately 80% of diabetic patients have proteinuria. In order to detect diabetic nephropathy as early as possible and avoid further development, it is better for patients to have a urine test regularly. But not all diabetic patients with proteinuria are nephrotic complications. Clinical diagnosis of diabetic nephropathy can be made by urine protein electrophoresis and renal biopsy.

At present, diabetes and hypertension are the major causes of chronic kidney disease in our country. Early diabetic nephropathy is difficult to detect, so prevention as early as possible is the key. Sugar friends must be active and correct treatment, strict control of diet and drugs, strengthen physical exercise. If the condition is well controlled, it can completely delay or even avoid the occurrence of diabetic nephropathy.

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