The Prognosis of Stage 3 Diabetic Nephropathy

Changes in diabetic nephropathy

Stage 3 is a watershed for the progression of Diabetic Nephropathy. If the patients can receive proper treatment, the disease can be reversed. If left untreated, it will develop into ESRD in a short time. So, how to improve diabetes kidney disease prognosis and stop its progression?

In stage 3, the albumin in urine increases obviously and blood pressure begins to rise. These are two factors in aggravating renal function. To minimize their influence on prognosis of Diabetes, the patients should adopt the following measures:
1. Control blood glucose level strictly.

2. No matter the patients have high blood pressure or not, they should be recommended to use ACEI or ARB to prevent blood pressure rising. If high blood pressure has occurred, they should take some other medications along with ACEI and ARB to control blood pressure below 130/80 mmHg.

3. To reduce albumin leakage, the patients should reduce the protein intake and restrict its intake to 0.8 grams/kg per body weight per day.

4. If edema occurs, they should limit salt intake less than 3 grams per day.
The above measures matter a lot in improving prognosis of Diabetic Nephropathy. However, they are not enough to stop the disease progression at all. Immunotherapy has been applied to repair impaired kidneys and improve renal function and has showed a remarkable therapeutic effect.

Learn More: Proteinuria Changes in Five Stages of Diabetic Nephropathy