High blood sugar increases blood flowing through the glomeruli, glomerular pressure increases, it overloaded. Over time, the kidney overwhelmed, proteinuria, glomerular sclerosis and failure. The presence and severity of proteinuria, not only on behalf of the severity of kidney disease, and proteinuria itself also have toxic effects on the kidneys, thus forming a vicious cycle. Therefore, almost all patients with diabetes in 2 to 5 years will have varying degrees of kidney abnormalities, 1/3 patients with proteinuria, renal damage in 10 to 20 years, until uremia appear frightening.
Diabetic nephropathy, once formed, treatment is difficult. Therefore focuses on early prevention, early diagnosis and treatment. Diabetes Microalbuminuria is the earliest and most important involving clinical evidence kidneys, and microalbuminuria is their only way to reverse the phase. People with diabetes should be measured as the long-term microalbuminuria routine examination of the project, every 3 to 6 months tested once, even if negative microalbuminuria should also be actively prevent, early diagnosis and treatment in order to win a few years time.
Prevention of diabetic nephropathy first to strict control of blood glucose, the early use of insulin when necessary, at least in glycated hemoglobin A1c 7%; followed as soon as possible, as soon as the buck, we recommend the angiotensin-converting enzyme inhibitors and angiotensin Ⅱ receptor blockers agent, in order to achieve early control of blood pressure and protect the kidneys.
Through the above explanation, I believe we understand regardless of diabetic nephropathy in the early defense, or in the middle of treatment and diagnosis, all should be given attention. If in doubt, please consult the online experts to answer questions, for health, our specialists 24 hours waiting for you.
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