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An important factor of diabetic nephropathy

2017-01-19 11:41

Observe frequencies of blood glucose fluctuation and edema in patients with diabetes, pay attention to the cause of diabetic nephropathy. 、

Diabetes appears eyelids or lower limb edema, must not be careless. The first thing to consider the possibility of diabetic nephropathy. According to yan chai hospital affiliated to Shanghai jiaotong university school of medicine, endocrinology, professor liu wei introduces, eyelid edema may be a dangerous signal of diabetic nephropathy. No matter what type of diabetes, the incidence of diabetic nephropathy are increased with the extension of the course, course of more than 25 years, the incidence of diabetic nephropathy will reach about 50%. Diabetic nephropathy caused by edema was first double lower limbs swelling, followed by the eyelid and facial edema, last development throughout the body dropsy. 

Due to diabetic nephropathy is one of the most common chronic complications of diabetes, so regular screening for early diabetic nephropathy are necessary. Even in the normal renal function, clinical manifestations, also want to at least once a year, determination of urine trace albumin urine routine and renal function test, if an eyelid or lower extremity edema, much more attention, immediately went to the hospital to check in details. 

Diabetes nephropathy after what to pay attention to? Professor liu said that in addition to general kidney disease matters needing attention, a person with diabetes from the cause of kidney disease treatment on the primary disease, strict control of blood glucose, blood pressure and blood fat, etc., in general, the best fasting glucose control in the tendency of 4.4 ~ 5.6 / L, postprandial blood sugar is not more than two hours tendency for 8.0 / L, glycosylated hemoglobin control within 6.5%, blood pressure is the best control within 125/75 MMHG, at the same time, must have the blood fat, including triglyceride, cholesterol and low density lipoprotein cholesterol (hdl-c), etc. 

Early diabetic nephropathy before a change in kidney function, it should be adjusted immediately find a specialist treatment, try to choose after kidney metabolism of oral medications or not treated with insulin. Can also take some protect kidney drugs under the guidance of doctors, can protect renal medicine and medicines at the same time. 

Diabetic nephropathy is very common, but a person with diabetes kidney changes are not necessarily caused by diabetes, should be more clear in the diagnosis of the disease. 


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