The therapeutic authority of the diabetic nephropathy explains
With people's improvement of one day and one day of material level, diabetes has already been changed kind into high having illness coming on gradually, one kind of complication that the main introduction here is initiated by diabetes - -The treatment of the diabetic nephropathy, now we listen to experts how to say.
Restrain protein from taking in
Can reduce pressing and blood flow volume in the glomerulus capillary to restrain protein from taking in, reduce urine albumens, delay DN progress speed, this function has nothing to do with the control of blood glucose and blood pressure of the whole body. Clinical DN person, the intaking amount 0.8g/ of albumen (kg [the details ]
Improve the life style
Smoking is a dangerous factor independently that 2 type diabetes develops to the diabetic nephropathy, correlate with deterioration of the renal function. Give up smoking, can make the intersection of DN and dangerous 30% reduction of progress. So, propose all diabetics should give up smoking. Control the weight to be an important measure too. Discover, make the overweight patient's weight index drop, can reach the renal function of the stability, function of reducing the proteinuria notably. Propose it is here that the diabetic nephropathy patient controls the weight index 18.5- 24.9 [weight index =Weight (kg) /Height ( m2) ]
Control blood glucose strictly
Prevent diabetic nephropathy from happening and delaying the progress important method of diabetic nephropathy in early days. Make blood glucose close normally as much as possible, prevent the development of DN, it may make DN incidence drop to treat by 36- 60% to strengthen. Blood glucose controls standard FBP<6.1mmol/L, 2h<8mmol/L, HbA1c<6.5% after the meal. As to the thing that DM2 can choose AGI, one pair of guanidine, TZDs, dose to list oral administration such as the enduring type and lower the candy medicine, if blood glucose is controlled badly or the renal function is obviously damaged, can use insulin.
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