2016年2月9日星期二

How to Positively Prevent from Diabetic Nephropathy?

Diabetic Nephropathy is a serious complication of Diabetes, which is a micro-vascular complication. Diabetic Nephropathy is charactered with glomerulosclerosis, which is a kind of vascular injury of glomerulus. At the primary stage, there are usually no symptoms, and the blood pressure can be normal or slight high than normal range. Then, how to positively prevent from Diabetic Nephropathy?

Here are some advisement as follows:

One, cultivate and keep a good life-style: it can help patients to well control blood sugar and change the condition of metabolic disorder. Patients can change their unhealthy life style through loosing weight, adjusting diet, quitting smoking and taking proper exercises, etc.

Two, well control blood sugar in an ideal range: the ideal range of blood sugar for patients FBG(fasting blood-glucose)<6.0 mmol/L, P2hPG <8.0 mmol/L, HbA1c<6.5%.

Once patients develop into Diabetic Nephropathy, they should take insulin as soon as possible, because insulin can not only effectively control blood sugar but also won't damage liver or renal function. Besides, patients with slight or moderate renal insufficiency can take Gliquidone,α-glucosidase inhibitor. Thiazolidinediones can relieve insulin resistance and protect kidney.

Three, well control blood pressure:the increase of systolic blood pressure or diastolic blood pressure can promote the development of Diabetic Nephropathy. Patients except those with GDM(Gestational Diabetes Mellitus) more than 18 years old should control blood pressure under 130/80 mmHg. Patients with Diabetes and Hypertension should first choose hypotensor such as ACEI or ARB, which can not only lower blood pressure but also protect kidney.

Four, because blood lipid disorder is the main factor causing heart cerebrovascular disease such as coronary heart disease(CHD), stroke,myocardial infarction(MI),cerebral infarction,etc, it is very important to correct it. The limit of blood lipid for patients are total cholesterol (TC)<4.5mmol/L, low density lipoprotein(LDL-c)<2.5mmol/L, high-density lipoprotein (HDL-c)>1.1mmol/L, Triglycerides (TG)<1.5mmol/L.

Five, patients should pay attention to the medicine renal toxicity and avoid taking this kind of medicine. For example, if the medicine is discharged by kidney, patients with Renal Insufficiency should avoid to takeing it. So they should follow doctors' advice to properly take medicine.

Six, prevent from urinary infection and positively treat it timely.

Seven, take physical examination at regular intervals: at the primary stage of Diabetic Nephropathy, there is usually no symptoms. So patients should persist on taking physical examination at regular intervals in particular the test of MAU( micro albunm in urine). When patients are diagnosed with type 2 Diabetes they should take urine test to check MAU. For patients with type 1 Diabetes they should take the test 5 years after their diagnosis. Besides, they should take the test one time each year.

Eight, proper diet can not help patients to effectively treat the condition but also can delay the development. So patients should follow doctors' advice to make a proper diet according to their own condition.


Proper prevention can help patients well control their condition and put off the development. However, patients should take positive treatment as soon as possible, early treatment can get a better prognosis.

Leave a message

Name:

Country:

Email:

phone Number:

skype:

Whatsapp:

Viber:

Disease Description:

Online Doctor