Diabetic Nephropathy: 4 Steps to Stop the Disease from Getting Worse

2018-07-26 15:04

Diabetic Nephropathy: 4 Steps to Stop the Disease from Getting WorseDiabetic Nephropathy is one of the most common complications of diabetes. It is also the leading cause of kidney failure. How to prevent it from getting worse? The following 4 steps can help you.

Diabetic Nephropathy treatment can be simply divided into several steps: controlling the primary disease, controlling the progression factors, and controlling the symptoms.

It can also be further divided into controlling blood sugar, reducing cardiovascular risk, controlling blood pressure and lowering proteinuria.

1. Controlling blood sugar level

Scientific studies have shown that strengthening glycemic control can reduce the relative risk of large amounts of proteinuria by 56%.

Besides diet and exercise to lower blood glucose, the use of hypoglycemic drugs is also a common method. However, it is important to choose hypoglycemic drugs that are less excreted through the kidney so as not to damage the kidney function.

For example, when glomerular filtration rate (GFR) is less than 45ml/min, metformin should not be used, for it will put extra burden on the kidneys. Other hypoglycemic drugs are relatively safe, but renal function should be monitored regularly.

2. Controlling blood pressure

High blood pressure affects kidney function as much as high blood sugar, so blood pressure control is also important.

For Diabetic Nephropathy, blood pressure should be controlled into 130/80 mmHg.

For patients with Diabetic Nephropathy to choose antihypertensive drugs, ACEI and ARBs are the first choice. ACEI can be used firstly. If it has too many side effects, you can replace it with ARBs. But note that these two drugs can not be used together. If you have gone into renal insufficiency stage, it is not recommended to take them.

3. Reducing proteinuria

In general, the ideal target for urinary protein is below 0.3g/d. Though it is difficult to reach this target, the minimum target is to bring it below 1.0g/d. Proteinuria and hypertension can be treated together with ACEI and ARBs as well as a low protein diet. Because these two kinds of drugs have the effect of lowering blood pressure and reducing proteinuria as well as protecting kidney function.

4. Reducing the risk of cardiovascular disease

Patients with diabetic nephropathy have a significantly increased cardiovascular risk, which can accelerate kidney failure. To actively prevent cardiovascular disease can reduce the risk and slow down kidney failure. For example, to change unhealthy diet and living habit.

If you still have any questions on Diabetic Nephropathy, such as treatment and indicators like proteinuria, please leave a message below or contact online doctor directly.

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