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Treatment of early diabetic nephropathy

2017-05-26 15:05

Diabetes often involve kidney, kidney is an early manifestation of larger, glomerular blood flow increased, increased glomerular pressure, the filtration rate increased when the glomerular filtration rate increased more than 40% of normal, microalbuminuria patients will appear, and then detect the urine protein urine routine test was generally negative, only 24 hours quantitative detection of microalbuminuria can be found, if the microalbuminuria ration is 30~300mg/24h, it can be diagnosed as diabetic nephropathy (early).

diabetic nephropathy

The method mainly has:

Lifestyle change: the patient must stop smoking and alcohol, adhere to aerobic exercise for at least 150 minutes a week, and avoid prolonged periods of sitting.

Diet control: Based on strict control of total calories, but also control the protein intake, average daily protein intake was about 1.0g/kg, and the recommended quality animal protein containing more essential amino acids (such as eggs, milk, lean meat, fish, etc.), can eat much food less, eat more vegetables, adequate intake fruit.

Control of blood pressure, blood glucose, blood lipid, patients should pay attention to more at home monitoring of blood pressure, blood glucose (fasting and postprandial) and timely records, treatment can be provided to the doctors, according to normal blood pressure and blood glucose levels to adjust medication. Each patient's blood pressure control objective is not the same, generally requires control at around 130/80mmHg. Fasting blood sugar is generally controlled at 5 ~ 7mmol/L, 2 hours after meals 9 to 11mmol/L, general requirements of glycosylated hemoglobin 6.5% or so.

Regular drug treatment: the diabetic nephropathy (early) treatment, showed that many clinical studies in recent years, angiotensin receptor blockers and angiotensin converting enzyme inhibitors can reduce glomerular capillary pressure, reduce microalbuminuria, thereby preventing and delaying the occurrence and development of diabetic nephropathy. Patients with hyperlipidemia, on the basis of diet control, often need to take certain drugs to control blood lipids.

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