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To Prevent Diabetic Nephropathy from Progressing to Uremia, 3 Things Need to Be Done

2018-04-24 03:39

To prevent Diabetic Nephropathy from progressing to uremia, if you can not do these 3 things well, all medications you have taken will be in vain.

Doctor, I have been with diabetes for 10 years. Will it cause kidney damage?

Doctor, my blood sugar level is stable, but I have proteinuria. Does it mean my disease get worse?

Doctor, I was diagnosed with Diabetic Nephropathy. What is the possibility to develop to uremia?

To Prevent Diabetic Nephropathy from Progressing to Uremia, 3 Things Are Needed

Patients with type 2 diabetes for over 5 years are more likely to have kidney damage. And compared with other types of secondary kidney disease, it is more easy for them to go into uremia. Though Diabetic Nephropathy seems aggressive, timely treatment can stabilize all indexes and significantly reduce the risk of renal function impairment.

As to the treatment of Diabetic Nephropathy, you should do 3 points. Have you done all of them?

To Prevent Diabetic Nephropathy from Progressing to Uremia, 3 Things Need to Be Done

-Keep your blood pressure stable.

Diabetics usually have high blood pressure. When kidney function is impaired, especially when the disease goes into middle stage, the damaged kidneys can not dispel fluid and sodium out of body, which can worsen blood pressure, while the elevation of blood pressure can worsen water and sodium retention in body so as to put extra stress on kidneys and aggravate the damage to kidney function. Therefore, to avoid further kidney damage, to control blood pressure is a key step.

For the control of blood pressure, if you have microalbuminuria, ACEI or ARBs are recommended. They are long-acting antihypertensives, which can keep the drug concentration in the blood and maintain blood pressure stable. Besides, these two medicines can decrease proteinuria and protect renal function.

Medical treatment is critical to control blood pressure, but to avoid kidney damage, blood pressure should reach a certain range. And different renal patients have different standards of blood pressure control.

For Diabetic Nephropathy patients under 18 years old, especially those with Type 1 diabetes, blood pressure should be under 140/90 mmHg. For elderly Diabetic Nephropathy patients with proteinuria, they are almost type 2 diabetics, blood pressure should be strictly controlled under 130/80 mmHg, but the diastolic pressure must not be less than 60, which are helpful for protecting renal function.

To Prevent Diabetic Nephropathy from Progressing to Uremia, 3 Things Need to Be Done


-Strictly control blood sugar level

The root cause of Diabetic Nephropathy is the abnormal blood sugar level. Therefore, it is urgent to stabilize blood sugar to prevent further kidney damage.

In general, Glycosylated hemoglobin (HbA1c) should be kept under 7.0%, which is beneficial for Diabetic Nephropathy patients to protect renal function.

For some patients, they may meet such a problem: with same medications for same dosage, blood sugar level becomes lower than before after getting kidney damage. We should know that low blood sugar level is no less harmful than high blood sugar.

That is mainly because some oral glucose-lowering drugs such as metformin and certain sulfonylureas, are to be filtered by kidneys. When kidney function is impaired, medications accumulate in body, leading to elevated drug concentration in the blood so that blood sugar level is lower than before, or even beyond the safe range.

Therefore, during the period of taking hypoglycemic drugs, patients with Diabetic Nephropathy should not only monitor blood glucose changes, but also detect changes in drug concentration in the blood in case of unnecessary injury.

To Prevent Diabetic Nephropathy from Progressing to Uremia, 3 Things Need to Be Done

-Follow "three low diet"

Low sugar diet. Try to cut down on foods that are high in sugar or elevate blood glucose easily.

Low salt diet. To limit salt intake 5g per day, which is helpful for stabilizing blood pressure.

Low but high quality protein diet. Protein intake should be controlled into 0.8 g/kg per day. If there are other conditions, adjust it under the guidance of doctor.

Diabetic Nephropathy is divided into five stages, from initial stage to uremia, the earlier you find it, the earlier you start treatment, the more possibility for you to cure it. And then you can avoid uremia.

Therefore, it is recommended that diabetics should have a routine urinalysis and renal function test every year. For more information on Diabetic Nephropathy treatment, please leave a message below or contact online doctor.

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