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How To Prevent Diabetic Nephropathy In Elderly Diabetic Patients

2018-09-29 09:57

Diabetic Nephropathy,Elderly DiabeticDiabetic nephropathy (DN) is one of the common complications of diabetes mellitus. The elderly population is becoming larger and larger, which seriously affects the health and life of patients. How to prevent diabetic nephropathy in elderly diabetic patients?

1. Controlling blood glucose: The nursing measure of senile diabetic nephropathy is to control blood glucose well according to doctor's advice, because high blood glucose is considered to be the cause of kidney disease. Strict control of blood glucose can delay the progress of kidney disease in preclinical period, maintain blood glucose normal for a long time, and make kidney function stable. We observed that blood glucose is concentrated. There is a positive correlation between urinary protein and glucose level, so it is necessary to observe the changes of blood glucose, glycosylated serum protein index, urinary glucose, urinary ketone body and renal function after treatment. Instruct elderly patients to strictly implement diet plan and control blood sugar below 6.5mmol/L as far as possible.

2. Control of blood pressure: Hypertension in diabetic nephropathy patients has an important impact on the progress of kidney disease, and strict control of blood pressure can delay the development of diabetic nephropathy. The nursing measure of senile diabetic nephropathy is to monitor the blood pressure of the patients routinely every day. The patients whose blood pressure is more than 150/90 mmHg have the indication of using antihypertensive drugs. When the kidney function is normal, the converting enzyme inhibitor is the first choice. When the kidney function is decreased, the plasma calcium antagonist is the first choice. Report to doctors to adjust the use of antihypertensive drugs in time.

3. Protection of blood vessels.

4. 5 years of diabetes patients, to check kidney function, urinary protein qualitative, 24 hours urinary protein quantitative, and pay attention to measuring blood pressure, do fundus examination.

5. Urinary microalbumin increases glycophilia. In the exclusion of other factors causing the increase, such as urinary tract infection, exercise, essential hypertension, should be highly vigilant, and pay attention to control blood sugar, so as to make it as close to normal as possible.

6. Diet emphasizes low salt and low protein diet, with high quality protein as the best.

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