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Treatment of diabetic nephropathy2017-01-12 15:45
Description of the disease:No obvious symptoms in recent three years, the urinary protein and occult blood plus 3 plus 1.Diabetic nephropathy, diabetic nephropathy is particularly common and troublesome complications of diabetes. In other words, diabetic nephropathy is one of the most seriouscomplications of diabetes, and is the final main factors of end-stage renal disease or cause. Diabetic nephropathy is the major microvascular complications of diabetes, mainly refers to diabetic glomerulosclerosis, in a blood vessel damage of glomerular lesions. Early symptoms, blood pressure is normal or high. Guidance: (a) for medical treatment of diabetes: 1 (1): early diet therapy is currently advocated in diabetic nephropathy should limit the intake of protein (0.8g/kg.d). The edema and renal insufficiency patients, in addition to limit sodium intake in the diet, the intake of protein should take fewer principle (0.6g/kg.d), when necessary, may be appropriate to lose. In insulin and plasma amino acid which can increase carbon The water intake of compounds in order to ensure sufficient heat. Fat should use vegetable oil. (2): drug treatment of oral hypoglycemic drugs. For simple diet and oral hypoglycemic agents are not well controlled and have renal insufficiency patients as soon as possible the use of insulin. Insulin when blood glucose monitoring and timely adjustment of.2. dose antihypertensive treatment of hypertension can accelerate the development and progression of diabetic nephropathy, diabetic patients control blood pressure levels than nondiabetic patients with hypertension and low diastolic blood pressure less than 75mmHg. intake, should limit sodium to quit smoking, limit alcohol, lose weight and exercise. Antihypertensive drugs advocate the first choice of angiotensin converting enzyme inhibitor, often in combination with calcium antagonists, also can choose alpha 1 adrenoceptor antagonists such as prazosin. Appropriate plus diuretics. (two) according to the condition of dialysis therapy for end-stage diabetic nephropathy patients receiving dialysis treatment only Treatment, there are two main ways: long-term hemodialysis and continuous ambulatory peritoneal dialysis. Most recently end-stage diabetic nephropathy patients using peritoneal dialysis, because it does not increase the heart load and stress, can control the volume of extracellular fluid and high blood pressure. Also intraperitoneal injection of insulin, convenient operation and cost saving, but some patients for a long time to absorb a large number of glucose peritoneal dialysis due to obesity and high cholesterol. Regarding the timing of dialysis should be slightly earlier than the non diabetes patients.