Diabetic nephropathy prevention methods

Diabetic nephropathy is one of the serious complications in diabetes, if not urgent treatment will lead to patient death, so is particularly important for the prevention of diabetic nephropathy.
So, the prevention of diabetic nephropathy, what does?
1, to adjust your diet: reducing protein intake, not only for renal insufficiency favorable, but also helps to reduce urinary protein excretion. The daily protein intake does not exceed 30 to 40 grams. Selection of high quality protein, such as milk, eggs, meat. Soy products and so should be limited.
Aggressive treatment of hypertension: antihypertensive treatment is very important for the slow rate of decline of glomerular filtration rate. Blood pressure control, urinary protein excretion also decreased. Make the blood pressure dropped to 16.8/l1.5 kPa (126/80 mm Hg), and in this period to treat high blood pressure is more important than the treatment of high blood sugar, but both at the same time. Have favored nephropathy selected angiotensin converting enzyme inhibitors, the agents by inhibiting the angiotensin I into angiotensin II, so that sodium retention to reduce the blood vessels to dilate peripheral resistance decreased, so that the drop in blood pressure. In addition, because the glomerular human ball, efferent artery dilatation, glomerular improve the blood supply, thereby reducing the glomerular progressive damage and improved renal function, commonly used drugs Capoten, said Ning sneeze can also be used nifedipine, the group of Nepalese peace, compound antihypertensive tablets and other treatment.
3, long-term effective control of diabetes: high blood sugar is the basic factors for the development of diabetic nephropathy, early detection of diabetes and be a reasonable treatment as much as possible so that the three substances metabolism back to normal is critical. Control the blood sugar at normal levels, often make the early pathological changes to restore, but of such progress to clinical renal play, even if the strict control of blood glucose, the effect is also poor. Close to uremia of diabetic nephropathy can occur the following phenomena: (1) Renal sugar group was significantly higher, it is not urine to determine the degree of glycemic control, the surface should prevail in the determination of blood garnet, increasing the difficulty to adjust the dose of insulin and hypoglycemic agents; ② uremic tired of certain metabolites reducing caused by the use of copper sulfate reduction assay urine false positive; ③ The uremic patients with loss of appetite, eating less, and even take the kidney itself off can decline to insulin, insulin lower requirements, high incidence of hypoglycemia and be ready to adjust the dose; ④ generally not suitable for re-use of oral hypoglycemic agents, the surface should be used insulin. Oral hypoglycemic agents can be used with caution worse diabetes non-insulin-dependent diabetes. Biguanide easy to induce lactic acidosis, should not be used; tolbutamide (D860) and sugar Fit is safer, but there are reports of hypoglycemia, the application still need to be closely observed.
To improve the emblem of renal vascular lesions: small camera possession of poly drug and blood Dropping to vasodilators, antiplatelet, such as dipyridamole, Salvia
Dialysis and transplantation: garnet diabetes nephropathy uremia should be carried out peritoneal or hemodialysis treatment. Kidney or pancreas - kidney transplantation, the most effective way for the treatment of late diabetic kidney. After transplantation, allows glycosylation of hemoglobin and serum creatinine, phenol levels return to normal.
6, do not use harmful drugs: the kidneys, such as gentamicin, streptomycin, amikacin, kanamycin, etc..