How is kidney sex diabetic treated?

summary

As we all know, diabetes is one of the most common chronic diseases, which needs active treatment. In 2017, there were 156000 registered diabetic patients in Taizhou alone. Moreover, the incidence of diabetes is also developing towards younger people. Some young people in their 20s are diabetic patients for many years. As a more complex disease, how to treat renal diabetes? How can it be?

How is kidney sex diabetic treated?

First: sulfonylurea secretagogues: suitable for patients with type 2 diabetes mellitus whose islet function has not been completely lost. Representative drugs: glibenclamide, glipizide, gliclazide and Gliquidone (second generation); Glimepiride (third generation). The second generation sulfonylureas were taken half an hour before meals, and the third generation glimepiride was taken immediately before meals.

Second: glinide secretagogues: fast onset, short duration, control of postprandial hyperglycemia. Suitable for the elderly, patients with mild diabetic nephropathy and irregular diet. Representative drugs: repaglinide, Nateglinide and miteglinide.

Third: dipeptidyl peptidase-4 inhibitors: inhibit liver glycogen decomposition and appetite. Representative drugs: sitagliptin, saxagliptin and vildagliptin.

matters needing attention

High quality low protein diet, excessive protein intake can increase the burden on the kidney, so we should control the total protein intake. Try to eat less plant protein, properly limit the staple food (white flour and rice also contain certain plant protein), and properly supplement animal protein such as milk, egg white, fish and lean meat. Generally speaking, the higher the serum creatinine level, the lower the endogenous creatinine clearance rate, and the more strict the control of protein intake. Appropriate amount of calories and low-fat diet, diabetic diet is low-fat diet, to control the total calories, and diabetic nephropathy should be appropriate to supplement calories. The lack of heat supply can increase the renal function indexes such as serum creatinine and urea. High calorie intake is not conducive to blood glucose control. Fat can provide more calories and requires a low-fat diet.