Treatment of polycystic kidney, creatinine 4

Swelling in diabetic nephropathy: how to treat it Swelling (edema) is a common symptom of kidney disease, especially in patients with diabetic nephropathy. If you have diabetic nephropathy and a severe swelling, you should pay great attention to it and treat it in a timely manner.

The kidney has many renal nephrons that can effectively filter the body's waste. Without good blood glucose control, the kidneys will work more intensively to filter excess blood sugar. Over time, the nephron gradually becomes dead due to excessive work, proteinuria is usually the first sign of diabetic nephropathy, and then high blood pressure and swelling.

Why is it easy to swell in patients with diabetic nephropathy?

1. Proteinuria is an important cause of diabetic nephropathy.

If the level of protein in the blood is higher than the level of blood pressure in the tissue space. Some of the fluid seeps into the subcutaneous tissue in the body, leading to swelling.

2. Damaged kidneys can not effectively remove excess fluid in the body, which leads to gravitational circulation and swelling on the ankle. Without effective control, excess fluid can spread to other parts of the body, such as the abdominal cavity, lungs, heart and other vital organs and body systems. Therefore, timely treatment of the patient's body to eliminate swelling is very important.

How to treat puffiness in diabetic nephropathy?

1. Limiting the intake of liquid and protein, reducing protein intake can effectively reduce the burden on the kidneys.

2. The cause of edema is a violation of kidney function, Cleansing therapy toxins can well treat edema for patients, and at the same time, treatment should focus on restoring damaged kidneys and improving kidney function. Only in this way can the patient manage the progression of the disease.

If you want to relieve puffiness in diabetic nephropathy or want a diabetic nephropathy to be under good control. You can send an email to lovekidney2010@hotmail.com, Whatsapp +8615833993533 , we will try our best to help you.

The method of reducing creatinine 810 in diabetic nephropathy

A way to reduce creatinine 810 with diabetic nephropathy I have a patient with diabetic nephropathy, and my creatinine in serum has an increase to 810, I was wondering if there is any way to lower the high level of creatinine?

For your condition, the level of creatinine is much higher than normal. Creatinine is formed from muscle catabolism and meat consumed by you. And urea is generated from dietary protein and tissue protein. Under normal circumstances, they can be excreted from the body by the kidneys. As soon as the kidneys go wrong, they accumulate in the blood and cause further damage to the kidneys. As a toxin, it should be removed through the kidneys. As soon as it increases, only 30-50% of kidney function remains.

As a diabetic, if you want to control your disease well, the most important thing is to control sugar, blood pressure and lipids. You know that if the blood sugar level is not controlled for a long time, in the glomeruli there will be a state of high pressure, high filtration and high infusion. Diabetes can always cause damage to the endothelial cells of the glomerulus, and also, the main function of endothelial cells is to control the diameter of blood vessels and monitor the dynamics of blood flow, when cells are damaged, there will not be enough blood circulation inside the kidney, and this is fatal to the kidneys, you know , That the cells feed on blood and oxygen, so a state of shortage of blood and oxygen inside the kidney is formed.

In short, low-calorie, low-calorie and low-calorie food is good for you, but proper treatment is the key to fighting your illness. It is said that osmotherapy of micro-Chinese medicine is one of the most effective methods of treating diabetic nephropathy, it can lower the high level of creatine by improving kidney function.

If you want to know more information about this treatment or want to have a good control of diabetic nephropathy, or want treatment abroad, you can send us a letter to lovekidney2010@hotmail.com, Whatsapp / Viber +8615833993533  or leave a message below, we will try to help you.

Maintenance dialysis for diabetic nephropathy with uremia

When achieved, control of hypertension and reduction of proteinuria reduced the risk for death or dialysis. In conclusion, the absolute renal risk score, determined at diagnosis, associates with risk for dialysis or death.

The major independent consensual factors are: the occurrence/presence of arterial hypertension (HT); the amount of daily proteinuria with a usual cut-off over g/d; and the presence of severe lesions on initial renal biopsy (RB) such as crescents, abundant obsolescent glomeruli, focal and segmental hyalinosis, and also tubulointerstitial fibrosis. However, at that time, there was no international classification for renal pathology in IgAN, and different groups like ours have defined their own scoring systems. The other factors are numerous and controversial or not widely confirmed: age at disease onset, gender, overweight/obesity, hypertriglyceridemia/hyperuricemia, and different immunogenetic markers (HLA antigens, cytokines polymorphisms, candidate genes for hypertension, etc.).

Fourteen patients, aged yr, with diabetic nephropathy and uremia were observed on maintenance dialysis for a total of 156.5 dialysis patient months (range: 1.5–30 months per patient). Clinical course on dialysis was eventful in most cases, though nitrogen retention and acidosis were readily controlled. Bouts of circulatory congestion and severe fluid retention were frequent in nine patients, six of whom died of acute myocardial infarction or intractable heart failure. Septic complications and hepatitis caused or contributed to the demise of four patients, and thromboembolic complications to that of one patient. Rehabilitation on dialysis was limited in nine cases, and five remained disabled. Retinopathy was not improved. Emotional problems were common in nine patients, five of whom required psychiatric care. Ten patients died between 1.5 and 21 months after the start of dialysis, and only one survived over 30 months. Three patients underwent renal transplantation 6 to 18 months after inception of dialysis. They all died 10 days to 3 months after surgery of overwhelming septic complications.

Survival rate on maintenance dialysis for the whole group was 54.8 per cent at 1 yr, and 16.4 per cent at 2 yr.

kidneyhospitalabroad@hotmail.com

diabetic nephropathy and CKD in a diabetic

Diabetic nephropathy is the leading cause of chronic renal failure in the United States and other Western societies. Diabetic nephropathy may be diffuse or nodular (Kimmelstiel-Wilson lesion). The early stages cause an elevated glomerular filtration rate with enlarged kidneys, but the principal feature of diabetic nephropathy is proteinuria.

The severity of diabetic glomerulopathy is estimated by the thickness of the peripheral basement membrane and mesangium and matrix expressed as a fraction of appropriate spaces (eg, volume fraction of mesangium/glomerulus, matrix/mesangium, or matrix/glomerulus).
Three major histologic changes occur in the glomeruli of persons with diabetic nephropathy. First, mesangial expansion is directly induced by hyperglycemia, perhaps via increased matrix production or glycosylation of matrix proteins. Second, GBM thickening occurs. Third, glomerular sclerosis is caused by intraglomerular hypertension (induced by renal vasodilatation or from ischemic injury induced by hyaline narrowing of the vessels supplying the glomeruli). These different histologic patterns appear to have similar prognostic significance.

Kidney damage in type 1 diabetes is the largest cause of chronic kidney disease in the working age group.

Kidney disease in people with type 2 diabetes is increasing because of the increasing prevalence of people with diabetes, improved cardiovascular survival and the trend to younger onset of type 2 diabetes.

The prevalence of microalbuminuria in patients with type 1 diabetes at 30 years' disease duration is approximately 40%.

The prevalence of microalbuminuria in patients with type 2 diabetes at 10 years' disease duration is approximately 20-25%.

kidneyhospitalabroad@hotmail.com

Many Diabetes Patients Feel Pill Burden

Prescribing fixed-dose combinations of diabetes medications may reduce the pill burden many patients feel, according to new research published in Diabetes Care.
German researchers surveyed more than 3,800 patients with type 2 diabetes (more than 6 years) and 600 physicians about medication regimens. The vast majority of providers agreed that multiple pills made it harder for diabetes patients to adhere to treatment.

Most patients were taking 3 to 6 total pills daily. Seniors, half of whom took more than 6 tablets daily, felt particularly burdened, because many required assistance with taking their medications.

Most patients identified their medication by appearance, such as by the pill’s shape, size, and color. Two-thirds agreed that using the right medication becomes harder when its appearance changes, for example, because of a product switch. Half of the patients worried they would forget to take their pills or take the wrong kind or dose.
Physicians were well aware of the problems, and many opted to use fixed-dose combinations of medication to reduce the pill burden.

What Is Immunotherapy

Immunotherapy is a biotherapy which is designed by our doctors to treat the immune system damage. More than 95% of kidney diseases are related to immune system disorder, such as IgA Nephropathy, Lupus Nephritis, Diabetic Nephropathy etc.

Immune kidney disease is easy to relapse, because the current treatment usually focuses om the symptoms and complications of kidney damage, which fails to control the immune system disorder. Thereby, once patients have cold, bleeding or fever etc, their immune system disorder will flare up, which causes kidney damages come back.

Immunotherapy can rebuild a new immune system and uses the immune system to fight against the kidney disease, which can prevent the relapse of kidney damage from the root. To get details of immunotherapy, you are suggested to read the six steps of immunotherapy.

kidneyhospitalabroad@hotail.com

Diabetic Nephropathy Not Improved by Dual Regimen

Nephropathy means kidney disease or damage. Diabetic nephropathy is damage to your kidneys caused by diabetes. It is characterized by nephrotic syndrome and diffuse glomerulosclerosis. It is due to longstanding diabetes mellitus, and is a prime indication for dialysis in many developed countries. In people with diabetes, the nephrons slowly thicken and become scarred over time. The kidneys begin to leak and protein (albumin) passes into the urine. This damage can happen years before any symptoms begin.

Combination therapy with an ACE inhibitor and angiotensin-receptor blocker (ARB) is not more effective than an ARB alone in slowing renal disease progression in patients with diabetic nephropathy, but it is associated with an increased risk of acute kidney injury (AKI) and hyperkalemia, according to a recent study.

The multicenter, double-blind Veterans Affairs Nephropathy in Diabetes study included 1,448 patients with proteinuric diabetic kidney disease (urinary albumin-to-creatinine ratio of at least 300) and an estimated glomerular filtration rate (eGFR) of 30.0-89.9 mL/min/1.73 m2. The investigators, led by Linda F. Fried, MD, MPH, of the VA Pittsburgh Healthcare System in Pittsburgh, randomly assigned patients to receive the ARB losartan plus placebo or losartan plus the ACE inhibitor lisinopril. The patients had a median follow-up of 2.2 years. The primary endpoint was the first occurrence of a change in eGFR (a decline of 30 or more if the initial eGFR was 60 or greater or a decline of 50% or more if the initial eGFR was less than 60), end-stage renal disease, or death.

Last but not least, if kidney damage has been formed by diabetes, the medical treatment should be applied as early as possible. In our Chronic Kidney Disease (CKD) Center, we do use Blood Pollution Therapy to deal with kidney damage. The treatment aims at treating the polluted blood not the kidneys. Under help of various techniques of cleaning blood, the wastes and toxins in blood can be discharged effectively and in the way, the internal environment of the body can be cleaned. Then, some effective reprative medicine and different elements can be supplied.

Primary endpoint events occurred in 152 (21%) of the 724 patients in the monotherapy arm and 132 (18.2%) of the 724 patients in the combination-therapy, a non-significant difference between the groups, the researchers reported in the New England Journal of Medicine (2013;369:1892-1903).

Compared with the monotherapy arm, the combination-therapy arm had significantly higher rates of AKI (12.2 vs. 6.7 events per 100 person-years) and hyperkalemia (6.3 vs. 2.6 events per 100 person-years). kidneyhospitalabroad@hotmail.com

Risk Factors for Diabetic Nephropathy

Diabetes is the most common cause of end-stage renal disease (ESRD) in the United States today. People with diabetes have a lot to juggle when it comes to their healthcare. While all of that may sound overwhelming, there is some good news; many of the steps you need to take to prevent one of those complications may actually help to prevent them all.

If you already have type 2 diabetes, or have been told you are “prediabetic” (meaning that your blood glucose is borderline high, or that you possess known factors that put you at greater risk for developing the disease), your kidneys are already overworked and their function should be tested annually. Early diagnosis of kidney disease is essential for preserving good health. Besides diabetes, other risk factors for kidney disease are:

• uncontrolled hypertension (high blood pressure)
• uncontrolled hyperglycemia (high blood glucose)
• obesity
• high cholesterol
• family history of kidney disease
• family history of heart disease
• cigarette smoking
• advanced age
• race (African Americans, American Indians, Hispanic Americans, and Asian Americans show a higher prevalence of kidney disease)                        

Proteinuric Diabetic Kidney Disease More Likely in Minorities

Kidney damage from diabetes is called diabetic nephropathy. If the damage continues, your kidneys could fail. Failing kidneys lose their ability to filter out waste products, resulting in kidney disease. In fact, diabetes is the most common cause of kidney failure in the United States. Other complications may be arteriosclerosis of the renal artery and protein in the urine.

Racial and ethnic minorities are more likely than non-Hispanic whites to have proteinuric diabetic kidney disease (DKD), according to new findings published online in Diabetes Care.

In a study of 15,683 individuals by Vivek Ghalla, MD, of Stanford University School of Medicine in Stanford, Calif., and colleagues, Hispanic men and women had a significant 34% and 46% increased odds of proteinuric DKD, respectively, compared with non-Hispanic whites, in adjusted analyses. Chinese men and women had a 56% and 39% increased odds of DKD, and Filipino men and women had an 85% and 57% increased odds. Non-Hispanic black women had a significant 50% increased odds. Our Email is kidneyhospitalabroad@hotmail.com.

Body Odor in Diabetic Nephropathy: Cause and Treatment

The patients with Diabetic Nephropathy (DN) always have a lot of symptoms which are very annoying, such as body odor. Many patients with DN complain body odor, which company with them every minute even after the shower or bath. So some patients with body odor are becoming more and more self-abased. Why patients with DN suffer the annoying symptom?

Causes

As we all know, the kidney is one of the excretory organ of our body, there are lots of waste getting out of our body everyday. If the patients get the diabetic nephropathy, the kidney function will be reduced seriously. As a result, the urea, guanidine compound, creatinine, and amine will be stained in body. So the patients will appear body odor.

High PTH may also be the reason of body odor for diabetic nephropathy patients. With the kidney function is declining, excess phosphorus builds up in the blood gradually, which will lead to the low calcium level. To make up it, parathyroid gland will produce more hormones to maintain patients’ calcium level. So the patients will sweat excessively. Once the sweat interacts with bacteria on the skin, it is more likely to cause body odor.

Treatment

Patients with Diabetic Nephropathy have a big difference in treating their body odor. If you are also suffering from this problem and want to get rid of it, you are supposed to pay more attention to the following suggestions.

1 Restrict the intake of phosphorus. For people with Diabetic Nephropathy should have a proper intake of phosphorus, generally 800-1000mg is the good choice.

2 Glycosylated hemoglobin (HbA1c) should be controlled below 7%. Strict control of blood glucose can improve renal hemodynamics. So the proper blood glucose can reduce the Diabetic Nephropathy.

3 An effective treatment is needed for patients to get rid of the body odor. Medical Bath, is one of the unique therapies in our hospital. We make the Chinese medical herbs into powder and mix them with hot water. Through soaking, the medical composition can get into the kidney part, and improving the excretive function of the damaged kidney. Moreover, after the Chinese medical bath, the patients can sweat heavily; the sweat can take away so many wastes, such as urea, guanidine compound, creatinine, and amine. If you insist it for a long time, not only can you get rid of the body odor, but also can improve your kidney function.


I am sure that you want to live a better life, if you have other questions about Diabetic Nephropathy, you can contact our online doctor, who are very experienced and they are willing to answer your all questions, or leave massages to us. You also can send emails to kidneyhospitalabroad@hotmail.com.

Novel Racial/Ethnic Differences Found in Diabetic Kidney Disease

Diabetic kidney disease is a complication that occurs in some people with diabetes. Diabetic kidney disease takes many years to develop. In some people, the filtering function of the kidneys is actually higher than normal in the first few years of their diabetes. It can progress to kidney failure in some cases. Treatment aims to prevent or delay the progression of the disease. Most people with diabetes do not develop CKD that is severe enough to progress to kidney failure. Novel Racial/Ethnic Differences Found in Diabetic Kidney Disease

Rates of proteinuric and nonproteinuric diabetic kidney disease (DKD) vary significantly across racial/ethnic groups, according to a study published online in Diabetes Care.

To assess racial/ethnic differences in the prevalence of DKD, Vivek Bhalla, MD, of the Stanford University School of Medicine in California, and colleagues reviewed electronic health records (2008 to 2010) for 15,683 patients of non-Hispanic white (NHW), Asian (Asian Indian, Chinese, and Filipino), Hispanic, and non-Hispanic black (NHB) race/ethnicity with type 2 diabetes and without a previous history of kidney disease.

Compared with NHWs, racial/ethnic minorities had higher rates of proteinuric DKD (24.8% to 37.9% vs. 24.8%) and lower rates of nonproteinuric DKD (6.3% to 9.8% vs.11.7%). Compared with NHWs, Chinese women and men had a significant 39% and 56% increased odds of proteinuric DKD, respectively. Filipino women and men had a significant 57% and 85% increased odds, Hispanic women and men had a significant 46% and 34% increased odds, and NHB women had a 50% increased odds, after adjusting for confounding variables. In contrast, compared with NHWs, significantly lower odds of nonproteinuric DKD were observed among Chinese, Hispanic, and NHB women and Hispanic men.

"In summary, rates of proteinuric and nonproteinuric DKD vary significantly across racial/ethnic groups," the investigators wrote. "Additional prospective studies are needed to confirm these associations, as such studies could lead to improved public health surveillance of diabetes complications within diverse communities."

Novel Racial/Ethnic Differences Found in Diabetic Kidney Disease. If you want learn more informations, you can contact our online doctors, leave us messages or send email to kidneyhospitalabroad@hotmail.com, we will reply you within 24 hours.

What is the CER in type 2 diabetes

Diabetes mellitus type 2 is a metabolic disorder that is characterized by hyperglycemia (high blood sugar) in the context of insulin resistance and relative lack of insulin. Unlike people with type 1 diabetes, the bodies of people with type 2 diabetes make insulin. But either their pancreas does not make enough insulin or the body cannot use the insulin well enough. This is called insulin resistance. Diabetes is a problem with your body that causes blood glucose (sugar) levels to rise higher than normal. This is also called hyperglycemia. Type 2 diabetes is the most common form of diabetes.

In patients with type 2 diabetes and nephropathy, a lower creatinine excretion rate (CER) is associated with higher all-cause mortality, according to research published online ahead of print in Diabetes Care.

To examine whether CER is associated with outcome in diabetes, Steef J. Sinkeler, MD, of the University of Groningen in the Netherlands, and colleagues used data from two trials involving 1,872 patients with type 2 diabetes and nephropathy and 24-hour urinary creatinine excretion data.

After a median follow-up period of 36 months, 300 patients had died. Factors positively and independently associated with CER were body surface area, hemoglobin, black race, and albuminuria, whereas female gender and age were inversely and independently associated with CER. The risk of all-cause mortality increased as CER decreased in a Kaplan-Meier analysis of sex-stratified tertiles of the CER.

"In conclusion, the CER, which serves as a surrogate marker for muscle mass, was inversely associated with all-cause mortality in diabetic patients with nephropathy, thus indicating that the CER can be used as a risk marker in this population," the authors write. "It would be of interest to see whether halting the loss of muscle mass seen in diabetes by physical activity may improve outcomes."

If you want to know more information about type 2 diabetes and nephropathy, you can leave us messages or send email to kidneyhospitalabroad@hotmail.com and contact our online doctors, we will reply you within 24 hours.

The Reason of bubble in urine for Diabetic Nephropathy Patients

Bubble urine is one of common symptoms of kidney disease. And Diabetic Nephropathy is no exception. So The problem is occur, is it same the cause of bubble in urine for Diabetic Nephropathy with other kind of kidney disease? And What is the cause of bubble in urine for Diabetic Nephropathy patients?

The reason of bubble in urine for Diabetic Nephropathy patients

Diabetes can cause damage to multiple organs, one of which is the kidneys. High blood sugar is the culprit in the developing course. By slowing down blood flow, causing deposits of excellular matrix and blocking nutrient supply to the kidneys, the high blood sugar can gradually impair renal capillaries and cause glomerular sclerosis. Over time, kidney filters can no longer effectively block proteins from being leaked into urine, resulting in increasing protein in urine. In this process, Diabetic Nephropathy aggravates progressively and continuously.

Treatment for Diabetic Nephropathy patients 

Blood Purification technology is one of feasible therapy. In our hospital There are many therapy in the scope of Blood Purification technology like Plasma Exchange,Immune Adsorption, all these therapy will treat your kidney disease for the polluted blood. And have get many good grades in the clinic. In other hand in the treatment progress we will also combine the Traditional Chinese Medicine with the blood purification.

If you have any questions want to consult me. Send an email to kidneyfailuretreat@hotmail.com.

Diabetic Nephropathy and Hypertension

Hypertension is considered cause as well as an effect of diabetic nephropathy. Diabetes is responsible for causing intraglomerular hypertension, hyperfiltration and hemodynamically mediated damage. Moreover, renal responsiveness can also be abnormal in the diabetic kidney. Therefore, abnormal intraglomerular pressures are chosen for treating hypertension in diabetic condition.

Descending progression of the renal damage can also lead to hypertension. In order to avoid the circumstance controlling blood pressure becomes increasingly significant. Hypertension in diabetes is also related to syndrome X or metabolic syndrome, wherein there is a coexistence of glucose intolerance, hypertension, high cholesterol, obesity and susceptibility to cardiovascular disease.

Individuals with type 1 diabetes, hypertension occurs due to diabetic nephropathy. Thereafter, hypertension shapes into microalbuminuria. On the other hand, individuals with type 2 diabetes have hypertension at the time of diagnosis. There are some chances that type 2 diabetes mellitus patients can also get hypertension through diabetic nephropathy, or other secondary causes like renal vascular disease.

Treating hypertension involves making few lifestyle changes, which include maintaining adequate weight, regular exercising, reducing salt intake and alcohol consumption. Some of the health care professionals also advise treatment with ACE inhibitors or ARBs after precise observation of individual’s condition.

If you want to know the natural ways to treat Diabetic Nephropathy and hypertension, you can send us an email to doctornickzhang@hotmail.com, or you can leave us a message, we are glad to help.

Symptoms of Diabetic Nephropathy

Symptoms usually start 5 to 10 years after the kidney damage has begun. In type 1 diabetes, kidney damage or diabetic nephropathy usually develops a few years after the onset of diabetes (after about 5 to 10 years) whereas in type 2 diabetes, small amounts of albumin (microalbuminuria) may be detected in the urine at the time of diagnosis as many cases may have had diabetes for several years at the time of diagnosis.

The primary function of the kidney is to remove waste products from the body through the urine. As the damage to kidney progresses in cases with diabetic nephropathy, the kidneys cannot do their job efficiently and hence, you may develop signs and symptoms such as:

Rise in blood pressure: Blood pressure rises as kidney damage progresses. Furthermore, the increase in blood pressure increases the risk of kidney damage.
Swelling or edema: It usually starts in the feet and legs and may involve the entire body as kidney function declines.

Protein in urine: Initially, small amount of protein (albumin) is found in the urine (microalbuminuria). As the functioning of the kidney/s declines, the amount of albumin increases and microalbuminuria becomes overt protein uria. The blood urea nitrogen (BUN) and serum Creatinine levels also increase gradually.

Other non-specific symptoms are poor appetite or loss of appetite, fatigue or feeling tired most of the time, malaise or general ill feeling, headache, nausea and vomiting, weight loss, difficulty or trouble in sleeping etc.
Urinary symptoms such as the need to go to the bathroom more often at night, frothy appearing urine.

Decrease in need for insulin or anti-diabetic medications to maintain blood sugar. In case of severe kidney damage, the kidneys cannot remove the excess insulin or filter oral medicines that increase insulin production, such as glipizide (Glucotrol) or glyburide efficiently. This may lead to a fall in blood sugar levels and decrease in the need for insulin or anti-diabetic medications.

Itching: When the kidneys do not function well, waste products from the body are not removed efficiently. Accumulation of certain waste products in the blood results in itching.

Paleness and anaemia: The kidneys secrete an important substance known as erythropoietin, which helps in the formation of haemoglobin. When the kidneys are damaged, they fail to form erythropoietin, which results in the fall of haemoglobin and thereby increases paleness and anaemia.

If you are interested in the natural treatment for Diabetic Nephropathy, you are welcomed to leave us a message or you can send us an email to doctornickzhang@hotmail.com, we are here to help.

How to Treat Diabetic Nephropathy with Different Ways

Treatment of patients with diabetic nephropathy involves taking care of several issues such as medicines to treat diabetic nephropathy, blood sugar control, management of hypertension and dietary changes. Read to know more on treatment of patients with diabetic nephropathy:

Avoid drugs that can injure the kidney: People with diabetic nephropathy should avoid medicines that can damage or stress the kidneys, especially non steroidal anti-inflammatory drugs (NSAIDs). Inform your doctor about all the medications that you take (prescription and non-prescription). Your doctor can tell you more about medications that may harm your kidneys.

Maintain blood sugar: Control of blood sugar within your target range is important to prevent damage to the kidneys. Your doctor can recommend your target blood sugar, medications needed to control blood sugar and follow-up schedule to monitor your blood sugar.

Low salt diet can help control high blood pressure more effectively (with or without medications). Diet that is low in protein can help you preserve kidney function in people with diabetic nephropathy. Your doctor or dietician can advise you regarding the amount of protein that is best for you.

In China, "Tang Yi Kang" and "Ma Teng Kang" are two kinds of special prescriptions of herbal medicine. The active material of micro-Chinese medicine like Islet activating element, Islet cell adjustment factor, Pancreatic activated enzyme, plant active protein and so on can be lead to the patient's body under the action of electromagnetic field. These factors can activate and repair the resistance factor of insulin and lower its sensitivity. In this way, the insulin receptor will be more sensitive to the insulin and the islet function will be recovered. Micro-Chinese Medicine Osmotherapy can clean the internal environment of the human body and release the state of Metabolic Disorders. By expanding the blood vessels and removing blood stasis, micro-Chinese medicine can improve the microcirculation at the lesions and block insulin resistance. The active materials in Chinese medicine can also prevent Cardiac Cerebral and Vascular Diseases by blocking LDL, especially the lipid peroxidation damage to targeted cells.

If you have any follow-up questions, you are welcomed to leave us a message or you can directly send us an email to doctornickzhang@hotmail.com, our experts can send you some free and professional medical advises.

Treatment of Diabetic Nephropathy

DN still has no effective therapy. The treatment principles are:1. To strictly control blood sugar to make the blood sugar close to the normal level, and prevent and delay the occurrence of DN; 2. to delay the rate of kidney function decrease;3.to treat with dialysis or kidney transplant.

Limit in protein intake. Proper reducing protein intake in food can decrease the intraglomerular pressure, high filtration and proteinuria. In contrast, high protein food may aggravate glomerular histological lesion. Patient with renal insufficiency should strictly control protein intake and take high quality protein containing essential amino-acid.

To strictly control glucose. Before occurring to clinical DN, use insulin pump or multiple subcutaneous insulin injection to control Diabetic Mellitus and keep the glucose the normal level, which can delay even prevent the occurrence and development of DN. It is good for other complications to lower the increasing GFR and improve microalbuminuria. According to The Diabetes Control and Complications Trial(DCCT) study, T1DM treated with insulin intensive treatment can reduce by 35%-55% of the occurrence rate for DN. Controlling glucose for the patients having developed into clinical DN and having obvious proteinuria is less useful for disease development. Hypoglycemic drugs will change into insulin after occurring to Clincial DN.

To control hypertension. Hypertension can accelerate the development of Renal Failure. The effective hypotensive treatment can slower the speed of GFR reduction and decrease the output of urinary albumin. Angiotensin coverting enzyme inhibitor or angiotensin Ⅱ receptor antagonist can be the first choice, and often used together with other hypotensive drugs, such as calcium antagonists, diuresis, β adrenergic receptor, methyldopa, and clonidine. If patients’ pressure is more than ≥130//80mmHg

Besides dialysis and kidney transplant, Micro-Chinese Medicine Osmotherapy is another treatment option when condition develops Kidney Failure. It can helps patients treat Diabetes and recover kidney function at the same time. If you need more, leave us a message or send us an email to doctornickzhang@hotmail.com.

Swelling in Face in Type 1 Diabetes

As a patient with Type 1 Diabetes, if you notice the swelling in face, the following information can be helpful.

If the patients have the swelling occasionally, it is may be caused by excess water intake or overwork etc. However, if it exists for too long and reoccurs frequently, the patients should pay more attention to it because it is may be related to kidney injury.

Kidney injury is very common in the patients with a long history of Diabetes such as above 10 years.

The capillaries in kidneys are responsible for filtering blood and discharging metabolic products. Meanwhile, the kidneys can keep the useful stuffs in blood. However, if blood sugar level is controlled poorly, it will impair the capillaries. As a result, the kidneys can not function normally and a lot of waste products build up in body and a lot of proteins leak into urine.
On one hand, as proteins leak into urine, the protein level in blood will decline. Afterwards, fluid in blood vessels will immerse into subcutaneous tissue. As the tissues in face are soft, it is involved primarily.
On the other hand, the kidneys can not filter fluid normally as before. As a result, they will build up in body. It is also a common cause of swelling in face.

So, how to relieve it?
1. The patients with type 1 Diabetes should limit water intake properly.
2. The doctors will recommend some diuretic to relive it.
3. The patients should go for tests to find out if it is caused by kidney injury.

If so, they should take proper treatment as soon as possible. If the patients with type 1 Diabetes have proteins in urine, the disease usually at least has developed into stage 3 of Diabetic Nephropathy.

To prevent renal injury, the experts remind all the patients with Diabetes that they should go for regular microalbuminuria.

The best treatment for diabetic kidney disease nowadays is Micro-Chinese Medicine Osmotherapy which can help patients avoid dialysis and kidney transplant effectively. If you have any confusions, you can send us an email to doctornickzhang@hotmail.com, or you can leave us a message.

What Are Diabetic Nephropathy Symptoms

Kidney damage occurs in the nephrons, the functional units of the kidney, which consist of a capillary network called glomeruli. Glomeruli filter wastes from the blood, control blood pressure, regulate electrolytes, stimulate red blood cell production, and produce urine. Diabetic nephropathy symptoms directly relate to the kidneys' inability to function properly.

SWELLING
As the diabetic nephropathy progresses, swelling occurs in the legs. Swelling occurs as the result of the kidneys not being able to control the balance of water, sodium and other electrolytes. Physicians prescribe a class of blood pressure medication called ACE inhibitors, allowing the kidneys to balance water and sodium, thereby decreasing blood pressure and also preventing further damage to the kidneys. According to MedlinePlus, the goal of the ACE inhibitors is to maintain a blood pressure less than 130/80mm Hg. Adverse effects of ACE-inhibitors include severe low blood pressure, severe coughing and decrease in urine output, notes the text "Pharmacology: A Nursing Process Approach."

FATIGUE
Symptoms such as fatigue, shortness of breath and exercise intolerance may be related to the kidneys' inability to effectively regulate red blood cell production, thereby leading to anemia. Anemia is diagnosed based on the blood test result of a complete blood count, revealing decreased red blood cells. The kidneys release a hormone called erythropoietin to stimulate bone marrow's production of red blood cells. Due to the presence of diabetic nephropathy, the kidneys produce less erythropoietin, leading to a decrease of red blood cell production. Red blood cells consist of a protein-rich compound called hemoglobin, which carries oxygen to cells and carbon dioxide away from cells to the lungs for excretion through exhalation.
An exogenous, or man-made, erythropoietin, such as Procrit, treats anemia caused by chronic kidney disease, according to the U.S. Food and Drug Administration. Physicians prescribe these injections to help stimulate bone marrow to produce more red blood cells. However, Procrit injections carry a risk of patients developing blood clots.

URINARY CHANGES
The glomeruli have tiny pores that usually keep proteins from slipping through the urine. Evidence of kidney damage occurs when the opposite happens. Urine may appear dark and frothy at times during the late stages of chronic kidney failure. Some people at this stage of diabetic nephropathy may experience decreased urine output.
The physician may order a blood test that would reveal high blood urea nitrogen-BUN levels, which are toxins in the blood normally excreted by the kidneys, and a high creatinine level. Creatinine, a waste product from physiological metabolic processes, normally ranges between 0.5 to 1.2 mg/dL of a blood sample, according to the book "Medical-Surgical Nursing." Increased creatinine levels signify kidney damage. Blood urea nitrogen measures the amount of urea, which is an end product of protein metabolism released by the liver, circulated through the blood and excreted by the kidneys. Normal blood urea nitrogen levels range between 5 to 20 mg/dL of a blood sample, states "Medical-Surgical Nursing." Depending on the results of the blood urea nitrogen and creatinine levels, the physician may ask the person diagnosed with diabetic nephropathy to eat less protein.

Then how to Help People with Diabetic Nephropathy Avoid Dialysis? The only way is to save kidneys themselves and control blood sugar well. If you still have any questions, you can send us an email to doctornickzhang@hotmail.com, or you can leave us a message. We will try our best to help you.

How to Treat Diabetic Nephropathy Efficiently

Diabetic Nephropathy is kidney disease or damage that can occur in people with diabetes. Often, there are no symptoms as the kidney damage starts and slowly gets worse. Kidney damage can begin 5 to 10 years before symptoms start. The symptoms of Diabetic Nephropathy include fatigue, headache, nausea and vomiting, general ill feeling, poor appetite, swelling of the legs and so on. What Symptoms of Diabetic Nephropathy Do You Have?

When kidney damage is caught in its early stages, it can be slowed with treatment. Once larger amounts of protein appear in the urine, kidney damage will slowly get worse.Keeping your blood pressure under control (under 130/80) is one of the best ways to slow kidney damage.


●Your doctor may prescribe medicines to lower your blood pressure and protect your kidneys from more damage. Often, the best types of medicine to use are ACE inhibitors and angiotensin receptor blockers (ARBs).


●Even when your blood pressure is normal, these medicines will help slow kidney damage.

Eating a low-fat diet, taking drugs to control blood cholesterol, and getting regular exercise can also help prevent or slow kidney damage.

You can also slow kidney damage by controlling your blood sugar levels, which you can do by:


●Regularly taking insulin or other medicines your doctor prescribes

●Eating a healthy diet

●Checking your blood sugar levels and keeping a record of them

●Knowing the basic steps for managing your blood sugar levels at home

There are many Complications of Diabetic Nephropathy, the real treatment for Diabetic Nephropathy means the one which can help patients avoid dialysis and kidney transplant. Urine stands for hopes, as long as patients have a certain urine, kidney transplant may not be the last choice. In Chinese clinical, Chinese herbal medicines have been used to help patients repair the kidney damage and enhance kidney function. And we hope every Diabetic Nephropathy patient could know more about Chinese herbal medicines. Don’t worry, we will be here helping you.

Coffee And Diabetic Nephropathy

Coffee And Diabetic Nephropathy

Diabetic Nephropathy is a very common complication of Diabetes, approximately 40% of people with diabetes will develop nephropathy and patients usually have high blood sugar and high blood pressure. However, if a person has Diabetic Nephropathy, whether is he allowed to drink coffee or not and how does coffee affect Diabetic Nephropathy? Caffeine has been shown to impair insulin sensitivity in people with type 2 diabetes, indicating that coffee may see higher blood glucose levels.

On average, every 100 grams of coffee mainly contains 2.2 grams of moisture, 16 grams of fat, 12.6 grams of protein, 46.7 grams of sugar, 170 mg phosphorus, 3mg sodium, 40mg caffeine, etc. So we advise patients with Diabetic Nephropathy avoid drinking coffee.

Well, avoid coffee is something patients could do, and a reasonable diet does play a helping role controlling the condition. However, just a reasonable diet is not enough, what they need is an efficient and safe treatment which can help them control the illness condition and avoid dialysis, maybe some of patients don't know that patients with Diabetic Nephropathy usually undergo dialysis earlier than patients with other kinds of kidney diseases. Speaking of the therapy, what is it?

Here we recommend Micro-Chinese Medicine Osmotherapy. China has already been using Chinese herbal medicine for more than thousands of years, there is no doubt that China has accumulated the rich experience and now the greatness of Chinese herbal medicine is known by more and more foreigners. Micro-Chinese Medicine Osmotherapy is based on Chinese herbal medicine, it is used externally on the acupoint of kidney area. It aims at repairing kidney damage and enhancing kidney function. As long as the kidney function can be enhanced, dialysis may be avoided or gotten rid of. We will always be here helping you deal with your any confusions.