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Prevention of diabetic nephropathy from the source

2017-01-25 16:55
Prevention of diabetic nephropathy from the source
Diabetic nephropathy is one of the most serious complications of diabetes, the incidence of diabetes is also rising in China, has become the main cause of end-stage renal disease. Due to the existence of complex metabolic disorder, once the development of diabetic nephropathy to end-stage renal disease, more often than other kidney disease treatment more difficult, so the timely prevention and treatment of diabetic nephropathy is significant for the delay.
Uncle Wang is 53 years old this year, but recently because of sudden headache, paroxysmal sexual consciousness disorders, limb convulsions, and accompanied by facial and limb edema came to the hospital. In the treatment process, Uncle Wang said he found that elevated blood glucose for several years, edema of lower extremities for a long time, though I know they have diabetes, but usually not what symptom, so there is no treatment for blood glucose control specification and standard. After the doctor's diagnosis, Uncle Wang had type 2 diabetes and hypertension, and he recently appeared uncomfortable symptoms because he has diabetes, history of hypertension but not standard treatment induced diabetic nephropathy. In detail with the king explained the condition of the king, the king uncle just listen to the doctor's advice to hospital for standardized treatment.
It is understood that diabetic nephropathy is one of the most serious complications of diabetes in China, the incidence of an upward trend, has become the main cause of end-stage renal disease, its incidence increased with prolonged duration of diabetes. Due to the existence of complex metabolic disorder, once the development of diabetic nephropathy to end-stage renal disease, more often than other kidney disease treatment more difficult, so the timely prevention and treatment of diabetic nephropathy is significant for the delay.
In the early stage of diabetes, the renal volume was increased, the glomerular filtration rate increased, and it showed a high filtration state. Microalbuminuria is closely related to the progression of diabetic nephropathy in the diagnosis of diabetic nephropathy. Early diabetic nephropathy patients often have no symptoms, only in poor glycemic control, exercise or tired when the test found the urinary albumin excretion and urinary protein, renal function decline. With the extension of the course of disease, once into a large number of proteinuria, the disease is often progressive development, patients will appear obvious edema, difficult to control the clinical manifestations of hypertension, hypoproteinemia, anemia. If not actively controlled, will be due to renal failure into the advanced stage of diabetic nephropathy uremia.
Microalbuminuria is the main clue of clinical diagnosis of early diabetic nephropathy, so we can find the early diabetic nephropathy early. The American Diabetes Association also recommends screening for microalbuminuria in patients with type 1 diabetes after 5 years of onset, while patients with type 2 diabetes should be examined at the time of diagnosis of diabetes. However, a positive examination, but also can not be diagnosed as continuous microalbuminuria, need to be reviewed from 3 to June, if the 3 examination in the 2 positive, it can be diagnosed; if negative, it should be checked once a year. If the damage of the kidney should be considered in clinical diabetic patients with diabetic nephropathy, kidney disease, hypertension, family obvious insulin resistance are risk factors for diabetic nephropathy.
In short, the prevention of diabetic nephropathy, to grab from the source, only to control blood sugar in order to effectively avoid the damage of the kidney. Patients with diabetes, if there is a different degree of proteinuria, or renal damage, it needs to be more active treatment, prevention and treatment of renal function deterioration.

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