Diabetic nephropathy is a complication of diabetes, is also diabetic
glomerulosclerosis. Therefore, patients with a history of diabetes must know the
cause of diabetic nephropathy, ahead of prevention.
1, high blood sugar: diabetic nephropathy and high blood sugar are closely
related. Poor glycemic control, can accelerate the development of diabetic
nephropathy.
2, high blood pressure: Any diabetic nephropathy are associated with
hypertension, hypertensive nephropathy in type 1 diabetes and microalbuminuria
occur in parallel, and in the type 2 diabetic nephropathy often appear before.
Blood pressure control is closely related to the development of diabetic
nephropathy.
3, genetic factors: some family history of hypertension in diabetic patients,
the incidence of diabetic nephropathy was significantly higher in patients with
no family history of hypertension. In addition, the incidence of different
racial diabetic nephropathy there are also differences, suggesting that diabetic
nephropathy and genetic factors.
Diabetic nephropathy Care should do the following:
(1) in patients with kidney disease should correctly understand the doctor's
supervision and diabetes care, check, do not resent the attitude of the doctors
who work as doctors help patients and their families and promptly on time to
complete formal diabetes self-monitoring required to complete urine, blood
glucose, in order to adjust the treatment program was a doctor.
(2) the patient should be the doctor's request rationing medication and
observe the effect after treatment, to strictly control blood sugar and urine,
in general, fasting blood glucose should be controlled at 5.6-7.8mmol / L, with
hypertension should The blood pressure control in the 16.7-17.5 / 10.5-11.5KPa.
But not all patients must follow this rule, there are differences in the
different standard condition. Therefore, patients in care of diabetic
nephropathy according to doctor's orders to acquire a certain amount.
(3) diabetic dietary guidance nursing. Diabetic care should adhere to the
principles of diet low protein diet, because of low protein diet can reduce the
glomerular filtration rate, but also to reduce the amount of urinary protein
excretion, it is now many advocates low-protein diet. One of the protein intake
of patients within the daily per kilogram body weight 1g, two patients daily
0.6-0.8g per kilogram of body weight is appropriate, and animal
protein-based.
(4) diabetic care medication: diuretics applications. Edema patients for
doctor may use diuretics, while appropriate limits of water and sodium intake,
in order to reduce the burden on the kidney.
(5) to prevent urinary tract infections. Urinary tract infections cause
aggravation of diabetic nephropathy, leading to kidney failure, therefore,
active prevention and treatment of urinary tract infections in diabetic care is
also very important. Patients to improve personal hygiene, especially women,
should pay attention to perineal hygiene. To have infected person should
identify bacterial infection or susceptibility testing, select the appropriate
antibiotics.
(6) regular monitoring of urine albumin, urine, kidney function tests, in
order to grasp the condition changes.
(7) to protect the kidneys. Avoid the use of drugs for kidney damage and
contrast agents.
(8) try to avoid all kinds of equipment checks and urinary tract
catheterization, in order to avoid induced infection.
If you have any questions you want advice, you can contact us by email:
chinakidneyhospital@gmail.com or Tel: +8613633219293.
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