How to treat diabetic nephropathy

summary

I went to the hospital to have a physical examination. As a result, there was diabetes. The doctor told me not to eat too much sugar, and prescribed some drugs to control it. The second examination found that there was kidney disease, and the doctor gave a new treatment plan. Now let me tell you how to treat diabetes complicated with kidney disease.

How to treat diabetic nephropathy

First, glycated hemoglobin should be controlled below 7.0%. Strict control of blood glucose can partially improve the abnormal renal hemodynamics; at least in type 1 diabetes, it can delay the occurrence of Microalbuminuria; reduce the conversion from microalbuminuria to clinical proteinuria.

Second: to control blood pressure, hypertension is not only common in diabetic nephropathy, but also an important factor leading to the occurrence and development of diabetic nephropathy. Angiotensin converting enzyme inhibitors (ACEI) or angiotensin receptor antagonists are the first choice of antihypertensive drugs. The main side effects of ACEI are hyperkalemia, renal dysfunction and dry cough. The target of hypotension was 130 / 80 mmHg in patients with proteinuria. Beta blockers and diuretics are not recommended as first-line drugs because of their potential glucose and lipid metabolism disorders, unless they are combined with tachycardia or obvious edema.

Thirdly, the protein intake should be limited to 0.8g / (kg · d) in the early stage of diet therapy, and it can be reduced to 0.6g / (kg · d) in patients with massive proteinuria and renal failure. The patients with middle and late renal function injury should be supplemented with α - ketoacid. In addition, it is suggested that fish and chicken should be used instead of red meat (such as beef, mutton and pork), and polyunsaturated fatty acids should be added. In addition, it is not necessary to excessively limit the intake of plant protein such as soybean protein.

matters needing attention

The treatment of the disease still has to go to the regular hospital. Many patients are eager for success. When they hear that there is a prescription to control their disease, they invest a lot of money in it. As a result, the money is not less spent, but the disease is still not under control, which is very sad for the patients.