1, genetic factors. Some long-term good glycemic control in patients with
diabetic nephropathy appear equally. Glucose transporter protein is the major
glucose transporter mesangial cells. Recent studies have found that patients
with diabetes between different individuals mesangial cells and the difference
regulation of GLUT1 menu on one of the factors may be susceptible to kidney
damage in some patients. And diabetic nephropathy also exhibit family
aggregation, family history of hypertension in some patients with diabetes, the
incidence of diabetic nephropathy was significantly higher than in patients with
no family history of hypertension.
2, high blood pressure. And diabetic nephropathy has no direct relationship,
but the course of pre-existing hypertension or microalbuminuria to elevated
blood pressure can accelerate the deterioration of renal function and
progression of diabetic nephropathy, increased urinary excretion of albumin.
3, hyperglycemia. Diabetic nephropathy and high blood sugar closely related
to poor glycemic control can accelerate the development of diabetic nephropathy,
good blood glucose control can significantly slow down its development. After
hyperglycemia and glycation endproducts cause an increase in mesangial cell
proliferation, extracellular matrix increased, mesangial expansion, glomerular
basement membrane thickening.
4, renal hemodynamic abnormalities. In diabetic nephropathy, and play a key
role, and may even be the initial factor.
(1) high blood sugar, high glomerular perfusion, high filtration state,
increased pressure across the capillary wall, the expansion of mesangial cells,
epithelial cell foot process fusion and produce dense droplets, glomerular
epithelial cells from the basal film off.
(2) glomerular basement membrane collagen Ⅳ messenger ribonucleic acid
increased, the basement membrane thickening, and ultimately the formation of
diffuse mesangial nodular lesions occur glomerulosclerosis.
(3) In the case of increased pressure, protein filtration increase, also
deposited in the mesangial area and glomerular basement membrane, promoting
stromal proliferation, creating a vicious cycle, and may result in nodular and
diffuse glomerulosclerosis.
We should now understand induced diabetic nephropathy What are the reasons of
it, life must pay attention to high blood pressure, high blood sugar disease, do
not let these diseases induce more complications, and thus to bring their own
health more harm. Friends recommend regular check-ups, early detection of
patients body, the first time to take effective treatment measures.
The experts in Shijiazhuang Kidney Disease Hospital which is a professional
hospital in treating kidney disease with Chinese medicines can reply your
questions by email: kidneyhospitalabroad@hotmail.com.
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