2015年10月1日星期四

Clinical Diagnosis of Diabetic Nephropathy (Diabetic Kidney Disease)

We all know that an early diagnosis of Diabetic Nephropathy is of great importance, because it can help us prevent and control the disease so as to reduce its morbidity and mortality. Besides, it is also helpful to have knowledge of clinical diagnosis of this disorder. How to diagnose Diabetic Nephropathy clinically? The following are some detailed introduction.

Firstly, it is available to diagnose Diabetic Nephropathy with a kidney biopsy. We can detect increased mesangial matrix and thickening of the glomerular basement membrane in the light microscopic findings. Immunofluorescence is featured by increased staining of the glomerular and tubular basement membrane and Bowman's capsule for IgG and albumin in a linear pattern.

Secondly, the clinical presentation of Diabetic Nephropathy contributes to the diagnosis. For example, a diagnosis of the disease can be inferred if a patient had Diabetes for at least 7~10 years, developed diabetic retinopathy, and had macroscopic proteinuria (albuminuria>300mg/d). However, if the patient has severe proteinurina but do not show a sufficient period of time and/or retinopathy, may require renal biopsy. Those patients may suffer from primary glomerulopathies such as Membranous Nephropathy, or other glomerular diseases.

Thirdly, early in the course of Diabetic Nephropathy, the serum is normal despite severe proteinuria (>3g/24h). Therefore, diabetics with elevated serum creatinine in the absence of macroscopic urine protein may also suggest possible diagnosis of Diabetic Nephropathy. It should be noticed that this method is less useful in patients treated with ACE inhibitors or angiotensin II receptor blockers (ARBs), since both classes of drugs are known to reduce glomerular proteinuria.


Once diagnosed with Diabetic Nephropathy, you should resort to prompt and effective treatment. Here we recommend Immunotherapy-the most advanced therapy for kidney disease. It belongs to a natural treatment without any side effects to patients. Under this treatment, the damaged kidney function can be restored so the symptoms of Diabetic Nephropathy will disappear spontaneously. So it is a good choice for you.

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