How to Control the Disease Patients with Diabetes

Diabetic nephropathy is one of the most serious complications caused by diabetes, and difficult to treat.Even if we get diabetic nephropathy, we should not give up on yourself, unless we are sure that we have no chance to get diabetic nephropathy.Below to introduce how to do, can alleviate the illness:

First, dialysis. Dialysis is used to get rid of the toxins from the blood temporarily with the help of a machine, it can effectively alleviate nausea and vomit of the patients, as well as other symptoms.

Second, control the blood pressure. High blood pressure is a prime character of diabetic nephropathy, as well as a dangerous factor, patients should take active measures to control the blood pressure, the procedure may contain details such as keeping a healthy diet and weight. Drink water when get up at the early morning can decrease concentration of the ammonia in the blood and relieve the nausea and vomit in some degree.


Third, control the blood glucose. High levels of blood glucose is the most dangerous factor, it is to be blamed for the systemic microvascular complications, patients may need to take some hypotensive drugs except for daily diet and moderate sports.

The Diet for Chronic Kidney Disease Patient

Chronic kidney disease is a common kidney disease, it has a lot of principle, in the absence of a precise diagnosis, we can't give precise advice, can only give a general advice, detailed information is as follows:

1.Protein

The major task of the diet for chronic renal failure patient is limiting the intake of protein, which can be calculated by the quantity of creatinine, carbamide, albumin. In general, low-protein diet ask that the intake of protein is less than 40 g per day. Patients with chronic renal failure should eat high quality protein food such as fish, thin meat, egg and milk. The vegetable protein is unsuited for the patients such as bean products.

2.Fruit

Because renal failure can be caused by diabetes, the intake of fruit is relied on whether patients have diabetes. The patients with hyperglycemia should choose low-sugar fruits such as pawpaw, kiwi berry, pitaya, grapefruit, etc.








3.Salt

Strictly speaking, the chronic renal failure patients with renal hypertension should take less than 3 g salt per day, besides, the patients had better avoid pickles, Lobak, can, soup-stock.

4.Water

The water intake of patients with symptoms of edema is 1000~1500ml.

5.Low phosphorus and high calcium

Eat less of high phosphorus food including yolk, pumpkin seeds, sunflower seed and soybean. Drink more milk to replenish calcium.

6.Replenish heat

The close restraint of staple food may lead to energy shortage, patients can take almond meal and glycoprival lotus root starch to replenish heat.


Diet is just the patients need to pay attention to on the one hand, in addition, the treatment of patients with chronic kidney disease also need to pay attention to some matters, maintain a good state of mind, happy to meet disease.

How to Prevent CKD in Your Life

In most cases, chronic kidney disease (CKD) cannot be completely prevented, although you can take steps to reduce the chances of the condition developing.

If you have a chronic (long-term) condition, such as diabetes, that could potentially cause chronic kidney disease, it is important it is carefully managed.



Smoking

Smoking increases your risk of cardiovascular disease, including heart attacks or strokes, and it can increase the likelihood that any existing kidney problems will get worse.

If you stop smoking, you will improve your general health and reduce your risk of developing other serious conditions, such as lung cancer and heart disease.

Diet

A healthy diet is important for preventing chronic kidney disease. It will lower the amount of cholesterol in your blood and keep your blood pressure at a healthy level. Eat a balanced diet that includes plenty of fresh fruit and vegetables (five portions a day) and whole grains.

Limit the amount of salt in your diet to no more than 6g (0.2oz) a day. Too much salt will increase your blood pressure. One teaspoonful of salt is equal to about 6g.

Avoid eating foods high in saturated fat because this will increase your cholesterol level.

Foods high in saturated fat include:
meat pies
sausages and fatty cuts of meat
butter
ghee (a type of butter often used in Indian cooking)
lard
cream
hard cheese
cakes and biscuits
foods that contain coconut oil or palm oil
Eating some foods that are high in unsaturated fat can help decrease your cholesterol level. Foods high in unsaturated fat include:
oily fish
avocados
nuts and seeds
sunflower oil
rapeseed oil
olive oil

Alcohol


Drinking excessive amounts of alcohol will cause your blood pressure to rise, as well as raising cholesterol levels in your blood. Therefore, sticking to the recommended alcohol consumption limits is the best way to reduce your risk of developing high blood pressure (hypertension) and CKD.

CKD Causes in Children

Kidney disease can affect children in various ways, ranging from treatable disorders without long-term consequences to life-threatening conditions. Acute kidney disease develops suddenly, lasts a short time, and can be serious with long-lasting consequences or may go away completely once the underlying cause has been treated. Chronic kidney disease (CKD) does not go away with treatment and tends to get worse over time. CKD eventually leads to kidney failure, described as end-stage kidney disease or ESRD when treated with a kidney transplant or blood-filtering treatments called dialysis.

Children with CKD or kidney failure face many challenges, which can include
· a negative self-image
· relationship problems
· behavior problems
· learning problems
· trouble concentrating
· delayed language skills development
· delayed motor skills development

Children with CKD may grow at a slower rate than their peers, and urinary incontinence—the loss of bladder control, which results in the accidental loss of urine—is common.

What causes CKD in children?

In adults, the major causes of CKD are diabetes and high blood pressure. At present, these are not major causes of CKD in children. However, diabetes and high blood pressure are increasing among children, mostly because growing numbers of children are overweight. Being overweight greatly increases the risk of developing serious health problems like diabetes, high blood pressure, high blood cholesterol and CKD. Currently, the major causes of CKD in children include:

Problems in the urinary tract that block the normal flow of urine
Inherited diseases such as polycystic kidney disease (PKD), which causes fluid-filled pouches to form in the kidneys and enlarge over time
Conditions that damage the filtering units of the kidneys (the glomeruli) such as focal segmental glomerulosclerosis.


Hemolytic uremic syndrome (HUS), a disease that affects both the blood and blood vessels. Kidney failure may occur as a result of damage to small blood vessels in the kidneys. HUS may also affect other organs such as the heart and brain.

How to Deal With Sleep Problems in Patients with CKD?

Among people with chronic kidney disease, the prevalence of sleep disturbances has been estimated to be as high 80%. These sleep concerns take a variety of forms, are attributable to many causes, and can take a serious toll on patients’ health and quality of life.

Restless legs syndrome

It is characterized by an urge to move the legs that is often hard to resist. Patients keep awake by always moving their legs. Low PTH level and anemia can be the causes of restless legs.

What’s more, there are also some simple methods to help you improve sleep quality.
·Take a warm bath.
·Do some exercises, which lets you feel tired and fall asleep faster.
·Choose a comfortable sleep environment.
·Drink a cup of warm milk.

Frequent urination at night

In this advanced stage of kidney disease, the damaged kidney can’t filter the wastes in daytime, so the “blood-cleaners” have to work harder in the night. In this condition, frequent urination at night will occur, which affects their sleep quality to a large extent.

Itchy skin

In kidney failure, many toxins accumulate in patients’ body. Some of them can be excreted through their skin and crystallize on skin, which induces itchy skin. Itchy skin annoys patients a lot in night.

In this condition, patients should pay attention to their personal hygiene. Taking a warm bath cleans the toxins on skin. Avoid foods causing toxins accumulation, like foods high in phosphorus.

Emotions

Patient may feel anxious and helpless about their disease, when they are alone in the night. The emotion makes them more anxious and can’t fall asleep. Patient should talk to their doctor to know their condition better and take active measure to control their disease.


Patients could also solve their sleep problems by changing daily behaviors, so they should pay more attention to their lifestyles. Only in this way can they have a happy life.

How Does CKD Stage 4 Lead to Joint Pain?

Some chronic disease patients may complain that they often suffer from joint pain. In serious case, extreme joint pain even can affect their life quality and interfere with their normal life. So how does CKD stage 4 lead to joint pain?

CKD stage 4 is an advanced stage. Kidney is an important organ for our body. In our daily life, the metabolic system continues to circulate. Meanwhile the wastes and toxins produce consistently. Under normal circumstances, those wastes and toxins will be eliminated out of the body in the form of urine. As kidney is damaged day by day, kidney needs to keep working for our body therefore GFR keeps losing and GFR 28 occur. When those wastes deposit in our body, it may destroys any systems in our body.

The prime culprit of joint pain in CKD is high levels of uric acid. Uric acid is the byproduct of purine and it is normally filtered out of body by kidneys. In right condition, the levels of uric acid keep at a constant level in body.

However, when kidneys fail to work properly, uric acid will not be removed by kidneys adequately, thus resulting in high levels of uric acid in body. Over time, the uric acid will form crystals. If the crystal deposits in joints, it can cause inflammation in the affected part, thus resulting in arthritis.


In addition, joint pain may be one sign of bone disease in CKD. Bone disease is a common complication of CKD. As the kidneys are impaired, they will to remove phosphorus from body. If the level of phosphorus in blood is too high, it will pull calcium out of bone to balance the levels of calcium and phosphorus in body.

As a result, bone disease will occur. Joint pain can become present among patients with bone disease.

How long can someone live with stage IV renal failure

Chronic renal failure can be divided into four stages: renal compensatory period(creatinine 133~177 umol/L), nephropathy azotemia period(186~442 umol/L), kidney failure period(451~707 umol/L), uremia period(creatinine is greater than 707 umol/L).

Uremia is IV stage of renal failure, which is also called end stage of renal disease, the glomerular filtration rate of uremia patients is less than 10-15 ml/min. The patients with uremia will experience multiple viscera or tissue damages, especially in gastrointestinal tract, angiocarpy, central nervous system. It may induce a threat to life eventually.

In this case, how long can someone live with stage IV renal failure becomes a question that the patients with uremia concern most.

In the field of western medicine, uremia patients are usually suggested to receive dialysis or kidney transplantation, both of them can bring plenty of complications include dialysis disequilibrium syndrome, infection, weakened immunity, tumor, etc.

In clinical trials, dialysis extended patients' lives by only ten years, on average. Besides, the patients rely on dialysis can not get rid of suffering treatment all their life.


Kidney transplantation can end up the patient's illness directly, but the rejection reaction and various kinds of complications will increase the patients’ mortality. The service life of donor kidney is about 5~6 years, once the donor kidney have used up, the patient should seek for a new kidney to maintain their life.

Diet for Patients with Diabetic Nephropathy

Question:I am 60 years old, I have been taking medicines for diabetes these years but blood sugar hasn’t been controlled very well. I was diagnosed with nephritis and sometimes suffered abdomen pain problem. Now I wonder how to treat diabetes and diet for me.

Answer: Without good control of blood sugar, diabetes can lead to many acute and chronic complications, such as eye disease, kidney disease, coronary disease, nerve and vascular disease. Once such complications occur, the disease will aggravate and it will increase difficulty in treatment. Thus, diabetes patients should insist diet, medication and exercise. They should also monitor blood sugar to prevent complications.

1. Give up smoking and drinking habit and don’t eat fruits and sugar foods. Limit staple food less than 300g every day. Combine coarse grain and flour and rice and try to eat more coarse grain as possible.

2. Supply fresh vegetables rich in dietary fiber. Due to less staple foods intake, fresh vegetables intake can be 500-1000g.

3. Limit salt intake.

4. Choose superior protein like animal protein.

5. Avoid stimulating foods such as mustard and chilli.

6. Under a certain total heat intake, milk, lean meat, eggs, fish, chicken, tomatoes, green vegetables can be chosen.

How to reduce high creatinine level in PKD

"My friend was diagnosed with polycystic kidney disease , her creatinine level has reached 3.8 , while only 20 percent of kidney normal work, so please tell me some treatment to reduce the level of creatinine ." The patient's friends asked us .

Before we answer the questions, we need to know about the root cause of the high creatinine level in PKD. What causes the elevation of the creatinine level?

Polycystic Kidney Disease (PKD) is kind of hereditary kidney disease and the PKD genes make the renal tubular epithelial cells experience phenotype transforming, which leads to the cysts continuously secreting fluids.

With time going by, the number and size of the cysts would expand and they will oppress the normal renal tissues, and finally make the room of the normal tissues. As a result, the kidneys are not able to work well on filtering the extra toxic waste products out of the blood. With time and with decrease of the kidney function, there will protein, blood found in the urine of the patients. And once the creatinine level rises, it shows the kidneys are suffering from serious damage. If treated in time, there is great hope for the patients to keep away from much worse disease conditions.

What’s the right treatment on reducing the creatinine level?

After we have known the root cause of high creatinine level in PKD, we should treat it from the root.

This is to make the damaged tubular epithelial cells fail to secret the fluids by eliminating the active ingredients released by the cells. And then the cysts would stop growth. Besides, we use some Chinese medicines to increase the permeability of the blood circulation of the cysts surface to reabsorbing the cysts fluids which will excrete together with the urine out of the body. On the other side, we also use some Chinese medicines to repair the damaged renal cells and then improve the renal function besides well control of its symptoms and complication. Therefore, the high creatinine in the blood would be removed out of the body and then the high creatinine level would be lowered naturally.


Different patients vary in disease status, and we can help to make an individualized treatment plan after we know more details about the patients’ disease conditions.

What can help the creatinine go down naturally

Diet is one of the influence factors of creatinine value, so the patients with high creatinineshould pay attention to daily diet, in case of creatinine increased by improper diet. So, what is the healthy diet for high creatinine patients? Professional Proposals are as follows:

1. Protein

Protein metabolites is the cause of kidney disease, so that low-protein diet is the most important principle for high creatinine patients. Low-protein diet doesn’t mean that the patients can not take in any protein at all, protein is a kind of nutrient, if the human body lack of protein, workouts are being fueled mostly by the break down of muscle glutamine for that energy, which can produce uremic toxin, so the protein intake should be arranged properly.

Experts suggest that the protein intake for patients with high side of creatinine should be limited to 0.8~1.0 g/day per kilo of weight。Besides, patients should eat high quality protein food such as eggs, milk, thin meat.

2. Calorie

Renal insufficiency patients need enough calories to ensure the efficient absorption of protein, the calories can be replenished by the food with high calorie and low protein such as grease, low protein starch, patients with normal blood glucose can eat sugary food in moderation.

3. Salt

If the patients have high blood pressure or edema, the salt intake should be limited to low salt or no salt.

4. Water

The water intake of high creatinine patients is the total amount of hesternal urine volume superadd 500~700 ml.


In addition to the rules above, patients with high side of creatinine should remain optimistic mood, avoid fatigue and staying up late, take exercise properly, stop smoking and refrain from drinking, form good living habits, in order to recover from kidney disease as soon as possible.

Prevent Kidney Disease Through The Health Diet

Eating healthy can help prevent or control diabetes, high blood pressure and kidney disease. A healthy diet has a balance of fruits, vegetables, whole grains, dairy products, lean meats and beans. Even small changes like limiting salt (sodium) and fat, can make a big difference in your health.

Limit salt

Do not add salt to your food when cooking or eating. Try cooking with fresh herbs, lemon juice or other spices.

Choose fresh or frozen vegetables instead of canned vegetables. If you do use canned vegetables, rinse them before eating or cooking with them to remove extra salt.

Shop for items that say “reduced-sodium” or “low-sodium.”

Avoid processed foods like frozen dinners and lunch meats.

Limit fast food and salty snacks, like chips, pretzels and salted nuts.

Limit fat

Choose lean meats or fish. Remove the skin and trim the fat off your meats before you cook them.

Bake, grill or broil your foods instead of frying them.

Shop for fat-free and low-fat dairy products, salad dressing and mayonnaise.

Try olive oil or canola oil instead of vegetable oil.

Choose egg whites or egg substitute rather than whole eggs.

Medicines may cause Renal Failure

Nowadays there are many drugs which may damage to our kidneys even to cause renal failure. The common medicines which may damage the kidney in the clinical treatment are as follows:

1. Antibiotics and other chemotherapeutic agents. This type of medicine have three classes as following:

Often damage class: amphotericin B, neomycin, cephalosporins Ⅱ.
More often damage class: gentamicin, kanamycin, streptomycin, tobramycin, amikacin, polymyxin, vancomycin, sulfa drugs.

Occasionally damage class: new penicillin (Ⅰ, Ⅱ, Ⅲ), ampicillin, carbenicillin, chlortetracycline, oxytetracycline, cefotaxime (Ⅳ, Ⅴ, Ⅵ), rifampin, ethambutol.

2. Non-steroidal anti-inflammatory analgesic contains indomethacin, ibuprofen, phenylbutazone, piroxicam, aspirin, aspirin compound (APC), phenacetin, antipyrine, aminopyrine, acetaminophen and naproxen acid.

3. Chemotherapy drugs for Cancer includes cisplatin, methotrexate, brilliant toxic mold, mitomycin, nitrosoureas, 5 - fluorouracil.

4. Antiepileptic drugs are including trimethadione and phenytoin sodium.

5. Medicines which have the function of anesthetic, such as ether, methoxyflurane.

6. Metals and complexing agents.

7. Angiography various agents.

8. Others: cyclosporin A, piperazine cimetidine, allopurinol, mannitol, heroin, dextran.

9. Single herb: aristolochia plants, Hook, gossypol, fish guts, gall bladder, cantharidin, centipede, bee venom, motherwort, Aconitum, fruit, tuber, two ugly, Bolbostemma, epazote, croton, aloe , large maple, Neem bark, TCS, Sakura roots, so that a gentleman, Clematis and so on.


There are so many medicines which may damage the kidney, so that it is necessary for us to take medicines under the doctor’s guidance strictly to protect our kidney.

External Factors That Can Cause Kidney Failure

Actually, renal failure is not necessarily caused by the physical condition of people, and some external factors may also lead to the occurrence of kidney failure, so, please have a look at this article puts forward the external situation carefully, and attention

Modern pollution: environment pollution、air pollution、food pollution、nuclear radiation、noise, made much toxic deposit in the body、threaten the health, injure the kidney as well, for a long time have the symptoms of renal failure.

Take medicine blindly: now people took medicine when they had illness, actually many medicines are easy to injure kidney; secondly, the pesticide and fertilizer of in the food are the factors to cause nephritis, nephritis don’t take timely treatment measures, so that cause to the deterioration of condition, at last cause to renal failure.

Irregular life: smoking、drinking、irregular life、too tired, all of these would cause to kidney injury, with the development of condition, in a further way deteriorate into renal failure.

Competitive business、big pressure: many people have great physical and mental pressure、body and mind tired、the decay of vitality, thus have the symptoms of kidney deficiency, such as insomnia、anorexia、weakness、bad temper、neurasthenia, give rise to the occurrence of kidney disease, if take improper treatment and health care, will have renal failure.


The content above is introduced the reason of some external factors may lead to renal failure, so we need to pay more attention to, completes the prevention work, away from renal failure.

The Cause Of Renal Failure

Renal failure has become a more common kidney disease and its etiopathogenesis are many, and even other kidney diseases development to the last also can lead to kidney failure, introduce some possible cause of renal failure

1.Hypovolemia: All kinds of reasons cause bleeding ,kidney and the liquid of gastrointestinal tract lost ,skin liquid lost(such as burn,excessive sweat)cause blood volume insufficiency .Hypovolemia make renal blood perfusion reduce ,GFR decline ,at the same time the sympathetic nerve excitation and vasopressin rise cause the renal blood shrink ,thus making the GFR decline more and causing renal failure .

2.Circulatory insufficiency:All kinds of reasons cause shock ,heart function and others circulatory insufficiency ,thus causing hypoperfusion ,GFR decline .Excessive use hypotensive drugs is also a inducing factors .

3.Serious infection and blood poisoning: All kinds of serious infection ,especially patients with blood poisoning can through renal ischemia and nephrotoxicity mechanism cause renal failure .

4.Serious trauma:Such as burn ,crush injury,serious fracture ,due to shock ,infection and injury make the organization release myohemoglobin ,easily occur renal failure .Serious burn will make a large number of liquid lost and intravascular hemolysis also prone to kidney failure.


5.Liver cirrhosis and ascites: At this time ,plasma renin-angiotensin-aldosterone system has already been activated ,vasopressin secretion increase cause water and sodium retention .Abnormal liver function make the drug detoxification ability decline .At this time if put ascites too fast it is easy to cause kidney failure ,this kind of patients with renal toxicity drugs are also prone to kidney failure .

The Methods Of Preventing Kidney Cyst

Now, kidney cyst disease has been very popular, and it have affected the normal life of people, in order to reduce this effect, we must do some corresponding prevention measures to ensure that our way of life

1、kidney cyst can be divided into many categories,in generally,the cyst of liver and kidney is congenital, it also has single cyst and multiple cyst, sometimes the cyst of liver and kidney can appear at the same time, the cyst of liver and kidney have small effect on the health of people.

2、Patients with kidney cyst should enhance the awareness of protection, they can have normal job and life in the daily life, the patients with big cyst of liver and kidney should pay attention to local trauma.

3、The methods if treating kidney cyst have many, the curative effect are different,we don’t need to treat the cyst which don’t form the oppression of liver and kidney, we don’t also have effective treatment.

4、The pathogenesis of kidney cyst is dangerous, the cyst of liver and kidney have slow development, it don’t appear the canceration, the prognosis is good.
5、The oversize cyst of liver and kidney can form the pressure symptoms or inflammation for viscera or the surrounding organs, they can use needle aspiration treatment or surgical decompression treatment,patients with inflammation should use antimicrobial treatment.

6、The diagnosis of kidney cyst is very important, it is very reliable to diagnose the cyst of liver and kidney through palm print, they don’t need to do more examinations.


Kidney cyst patients should master some of the ways to prevent illness, they can be some exercise, diet and family care, etc