The Treatment for Diabetic Nephropathy Patients

High blood sugar is the main cause of the diabetic nephropathy, which is known by us. The result of diabetic nephropathy study shows that controlling the blood sugar strictly can decrease the incidence of diabetic nephropathy. Therefore, in the early stage of diabetic nephropathy, the action of actively control diabetes is necessary, the treatment for diabetic nephropathy patients include diet treatment, and oral Chinese medicines.

What are the diet treatments?

The clinical experience reports high protein diet can increase the flow rate of glomerulus and the pressure. However, low protein diet may cause the decline of glomerular filtration rate, to delay the speed of kidney function impairment for diabetic nephropathy patients. So, in the early stage of diabetic nephropathy, the intake of protein volume is limited and should not more than 0.8 g/kg/d per day. As for the patients with large amount of proteinuria, swelling, and kidney insufficiency, the intake of protein should hold the principle of less but better, except limiting the sodium volume. That is to say, patients should intake high quality protein.

The control of high blood pressure:

Of course, high blood pressure is an important factor in the development of the diabetic nephropathy. Diabetes patients with small volume proteinuria may cause the incidence of high blood pressure higher than the common people who in the same age and gender. A study shows that when systolic pressure < 140 mmHg, the decline speed of kidney function in early stage of diabetic nephropathy is 1% every year. However, when systolic pressure > 140 mmHg, the decline rate in type one and type two is respectively 6% and 13.5%. So, controlling high blood pressure can reduce protein in urine for diabetic nephropathy patients, and delay the progressive of kidney impaired.

The treatment for anti-high blood pressure:

The treatments include low sodium, giving up smoking and drinking, lose weight, and do exercise regularly, especially for the patients who are fat with type 2 diabetes.

All in all, for the patients in the early stage of diabetic nephropathy, there are three effective treatments, first is to control the blood sugar. Second is to control blood pressure, the first choice is ACEI, ARB. The last is to limit the protein volume, not more than 0.8 g/kg/d per day.

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