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Diabetic nephropathy how to control the three high?

Nov 10, 2017

Diabetic nephropathy is short for diabetic glomerulosclerosis and is one of the common causes of chronic kidney disease and end-stage renal disease. Hypertension, hyperglycemia, hyperlipidemia these three diseases referred to as "three high", the presence of three high will make patients with accelerated renal dysfunction, related complications occurred time should be controlled.

Diabetic nephropathy how to control the three high?

Control blood sugar:

Although there is no clear relationship between blood glucose and the development of advanced diabetic nephropathy (DN), blood glucose regulation is still important because it improves the patient's nutritional status and reduces high-glycemic risk and hypoglycaemia. Newly diagnosed diabetic patients with conventional subcutaneous injection of insulin can significantly reduce the incidence of diabetic nephropathy microangiopathy. Blood glucose control level average <8.3mmol / L, HbA1c <7.6% is good, 7.6% ~ 9% is poor,> 9% increased risk of microvascular abnormalities, HbA1c further metabolism in the body to produce glycosylation The end product, its rise is one of the factors of vascular complications. It must be noted that metformin can not be used when serum creatinine> 133 mmol / L. Studies have shown that annual daily blood glucose <8.3mmol / L, HbA1c <7.6% can reduce 56% of urinary albumin and reduce the incidence of 70% of retinopathy. Therefore, regular testing of blood glucose, HbA1c as a monitoring indicator is very important.

Control high blood pressure:

Proteinuria Use of angiotensin-converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB) can reduce urinary protein, maintain glomerular filtration rate (GFR), reduce the progression to (end-stage renal disease) The risk of ESRD has been confirmed by large clinical research. Similar guidelines have been established by both the American Foundation for Nephrology (NKF) and the American Diabetes Association (ADA): The recommended target BP is 130/80 mmHg. Two or more of these drugs are required to achieve this goal, including thiazides Or 襻 diuretics, and as a recommended first-line drugs. ADA also suggests that ACEI can effectively delay DN progression to any degree of albuminuria or type 1 diabetic proteinuria.

Control lipid disorders:

Lipid metabolic disorders with the advent of DN further aggravate, DN dialysis hyperlipidemia, cardiovascular disease mortality can be increased. Dietary control is the basic measure to correct dyslipidemia. The American Diabetes Association recommends high-carbohydrate, low-fat and low-saturated fatty acids and cholesterol-lowering diet. Strict blood-sugar control can also reduce dyslipidemia.

The above is the relevant information collected by experts, surely we have some understanding of the above common sense it! Only the correct diagnosis, to better treatment. If you have other kidney problems can browse other pages, you can also give us a message, with the nephrology expert Tongshan Church Chinese medicine hospital will give you the most professional and most effective treatment or advice.

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