2014年8月6日星期三

Preventive measures in daily life of diabetic nephropathy

Diabetic nephropathy is caused by insulin etiology and pathogenesis of different absolute and relative lack of protein and fat that sugar metabolism disorders, and chronic high blood sugar as the main clinical manifestations of systemic disease. Diabetes can damage the kidneys of these different approaches can involve kidney damage all structures, but only glomerulosclerosis have a direct relationship with diabetes, also known as diabetic nephropathy, is one of systemic microvascular complications of diabetes. Once kidney damage occurs in diabetic patients with persistent proteinuria is irreversible disease often develop end-stage renal failure. Diabetic nephropathy has become the leading cause of death in diabetic patients.
An appropriate exercise: appropriate exercise can blood glucose lowering, reduce the amount of hypoglycemic drugs, especially in patients with type Ⅱ diabetes through proper exercise can make their own insulin better play role in enhancing the efficacy of drug therapy.
Second, control high blood pressure: High blood pressure cause kidney damage, kidney damage and vice versa has increased blood pressure, antihypertensive therapy on glomerular filtration rate change is very important, as much as possible so that the blood pressure drops below 130/80 early in diabetes, treatment of hypertension may be more important than control of blood sugar, but both want the same time.
Third, control of blood glucose: High blood sugar is a basic factor in the development of diabetic nephropathy, blood glucose control in normal levels to make the early pathological changes can be recovered.
Fourth, avoid the use of kidney toxic drugs: such as gentamicin, streptomycin, amikacin and so on.
Five, adjust your diet: protein intake should be reduced, which is not only beneficial to delay the progression of renal insufficiency, but also help reduce urinary excretion of protein, usually daily protein intake should not exceed 30-40 grams, should be adopted low-salt diet, low sodium intake will help control diabetic nephropathy, can play a role in blood pressure.

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