Tuesday, April 3, 2012

Control Measures of Diabetic Nephropathy

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Therefore, besides the treatment, preventions for the progression of Diabetes Nephropathy is also of great importance. And the following are eight methods for preventing this disease.

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1. Controlling high blood sugar

Once the early Diabetic Nephropathy is detected, insulin should be used to treat Diabetes and control blood sugar level strictly. It is still very important for patients at clinical period or late stage of Diabetic Nephropathy to use insulin to control blood sugar.

2. Treat Hypertension

Hypertension is an very important factor which can accelerate the progress of Diabetic Nephropathy.

A large number of clinical observation has proven that controlling high blood pressure strictly can reduce the urine protein volume of patients obviously and can delay the process of renal damage. The ideal blood pressure level is not more than 120/80 mm Hg. The blood pressure of patients accompanied with neuropathy and macroangiopathy can be controlled under 130/80 mm Hg. ? receptor blocker such as propranolol will affect glycometabolism and lipid metabolism. And ? receptor antagonist such as prazosin affects glycometabolism slightly. Priority drugs for treating high blood pressure include the following drugs: Lotensin, Cozaar and Nifedipine. Certainly these drugs all have side-effects. So patients should use these drugs under the guidance of doctor.

3. Limiting the intake of protein in diet

Clinical and experimental research all shows that high protein diet can increase the perfusion and pressure of glomerulus. Low protein diet can delay the progress of renal damage of patients with Diabetic Nephropathy.

4. Avoid using nephrotoxic drugs

Renal function of patients with Diabetic Nephropathy has been damaged and the renal reserve capacity has dropped. If patients use nephrotoxic drugs carelessly at this time, renal damage will aggravate further.

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5. Drinking more water

It means the daily intake of water should be 1500~2000 ml.

6. Limiting the intake of protein and potassium

The intake of protein and potassium should be limited, including the foods and drinks which contains potassium. The daily intake of protein should be 0.6~0.8 g. And lean meat and fishes are appropriate.

7. Limiting the salt intake

Delicate diet is appropriate for patients with Diabetic Nephropathy. The salt intake should be not more than 6 g/d.

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