Diabetic Nephropathy Is the Main Cause of Death of Diabetes Patients
Diabetes is a disease that affects the whole body and brings about many complications. According to researches, Diabetic Nephropathy is one of the complications of diabetes that is difficult to be treated. This is because diabetic nephropathy is insidious and difficult to detect. Once you are diagnosed with kidney disease, it has been in middle and late stage. Follow us to know why diabetes patients are easy to suffer from kidney disease.
The kidneys are located on either side of the spine and are about the size of two fists. Glomeruli is filter net, renal tubular is like sewer which is responsible for the excretion of wastes and excess water in the blood and keeping the useful substances in your body. Besides, kidneys also secrete hormones that regulate blood pressure, produce red blood cells and promote bone growth.
Then why do diabetes patients have a higher risk of kidney disease? This is because the kidneys are not only responsible for removing metabolites from the body, but are also exposed to the damage that diabetes do to the kidneys. The main manifestation of diabetes is the elevation of blood sugar, and long-term of high blood sugar will damage the vascular endothelial function of human body, thus causing glomerular microvascular lesions and abnormal protein excretion and filtration. If the glomerular damage is worsening, progressive renal function damage will be caused and then massive proteinuria will occur. In this condition, symptoms like high blood pressure and swelling will occur and even serious kidney function failure and end stage of kidney disease will occur. Once it is in massive proteinuria stage, the progression to end-stage renal disease is about 14 times faster than other renal disorders, and diabetic nephropathy is one of the leading causes of death in diabetic patients.
Therefore, for diabetes patients, it is important to do screening of kidney disease. Diabetic nephropathy can be detected early. For example, there are many bubbles in your urine or you have swelling feet in the morning. These may be all early symptoms of diabetic nephropathy. You should go to hospital for treatment immediately. Besides, even if you do not have symptoms, you should not treat it lightly. The simplest way is to go to hospital for screening urinary microalbumin (AER) or the ratio of urinary albumin to creatinine (ACR) and checking serum creatinine to measure kidney function. Once diagnosed, all type 2 diabetes patients need to be screened immediately and have their AER screened annually. If the results are abnormal, they need to be re-examined within 3 months for a definite diagnosis. Patients with type 1 diabetes who have a history of more than 5 years should also be screened annually.
What should diabetes patients do to prevent diabetic nephropathy?
1. Actively control hyperglycemia, hypertension and dyslipidemia, and make it reach the control standard
Strict control of blood glucose can reverse or delay most early diabetic nephropathy; Strict control of blood pressure can significantly reduce protein filtration in diabetic nephropathy patients and delay the process of renal function damage. In addition, dyslipidemia is also a risk factor for kidney damage, so patients should keep their blood lipids (especially low-density lipoprotein cholesterol) within the normal range.
2. Prevent other factors that can worsen kidney disease
Infection, dehydration, toxic or oxygen deficient are factors that may worsen your kidney disease. You should prevent these factors. Also pay attention to the prohibition of nephrotoxic drugs and food.
3. Treat microalbuminuria
Once microalbuminuria occurs, no matter whether there is hypertension or not, it is advisable to take antihypertensive drugs under the guidance of doctors, so as to improve the pressure of glomerular vessels and reduce urinary protein.
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***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***