Do you know what will damage healthy kidney?
High blood pressure, diabetes, obesity, urinary tract infection, kidney stones and so on will damage your kidney in gradually.
The effects of treatments are bad in long term, all the indicators do not continuously keep in normal level, which will increase the burden to kidney that it can cause the damage to kidney again.
Especially, people pay attention on renal damage that caused by diabetes. Diabetic nephropathy is one of the most typical complications of diabetes. Due to the process of diabetic nephropathy is more quicker than others, and it is one of the diseases to cause uremia, so people especially pay attention on diabetic nephropathy that caused by diabetes.
Does all diabetes have renal damage?
Diabetes is divided into type 1 diabetes and type 2 diabetes. The majority of patients with type 1 diabetes are younger, lower than 30, and they have a sudden onset and have a great relationship with their own eating habits. Type 2 diabetes is common in middle-aged and elderly people, and the incidence of obesity is high, which belongs to the conventional diabetes.
Diabetic nephropathy often occurs in patients with type 2 diabetes. This is mainly related to the patient's own period of diabetes, more than 7 years that you must pay attention on the occurrence of renal damage, more than 10 years of diabetes patients should be more annual renal function test, many patients with varying degrees of renal function damage.
More than 5 years of diabetes history have these early symptoms. You can't be careless, which suggesting that the kidneys have been damaged.
1, microalbuminuria persisted. After illness conditions are worse that it will be severe proteinuria.
2. Complications associated with retinopathy
3, there may be hematuria, but only occasionally red blood cells in urinary sediment
4. Glomerular filtration rate generally decreases
When we find the kidney functions to be damaged, how to control blood sugar, reduce proteinuria, prevent the progression of kidney function, and avoid the acceleration of uremia.
These drugs can be selected for diabetic nephropathy patients to reduce blood sugar.
These drugs can reduce body weight, but for a long time, they have hypoglycemia and risk of lactic acidosis. Therefore, if the glomerular filtration rate is up to 30 ml/min/1.73m2, these drugs should be discontinued when the glomerular filtration rate is up to 30 ml/min/1.73m2.
Most of the insulin should be removed from the kidneys, and the diabetic patients with reduced glomerular filtration rate should monitor blood sugar closely when using insulin to avoid excessive hypoglycemia.
The metabolism of pioglitazone is mainly metabolized by the liver. If the patients with diabetic nephropathy have liver dysfunction at the same time, they need to adjust the dosage if they are serious.
In addition to reducing the level of blood sugar to reduce the damage to renal function, reducing proteinuria is also very important, diabetic nephropathy usually can choose angiotensin converting enzyme inhibitor (ACEI), prouli drugs, to reduce blood sugar, at the same time to reduce blood pressure, reduce protein protection of kidney function.
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