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3 Tips Help Reverse Diabetic Nephropathy To Avoid Dialysis

2019-04-18 10:16

Reverse Diabetic Nephropathy,Avoid DialysisIn China, the number of Diabetic Nephropathy patients is huge, which has exceeded 24 million. If the condition is not well controlled for a long time, the patients will enter the stage of uremia and can only survive through dialysis or kidney replacement.

Can diabetic nephropathy be reversed?

Diabetic nephropathy is divided into five stages, most of the patients in the first two stages are mild and can be "reversed" basically after treatment; to the third stage of sugar kidney, there will be a sustained increase in urinary albumin, accompanied by a slight increase in blood pressure (about 60% of sugar kidney patients are in this stage). If not actively treated, the vast majority of patients will develop to the fourth stage - increased urinary protein, glomerular filtration. The rate decreased and blood pressure worsened. At this point, if the control of urinary protein, blood pressure, kidney disease will accelerate to deteriorate to uremia (the last stage).

Not wanting diabetic nephropathy to deteriorate to uremia, patients should do these three things well from beginning to end:

1. Correcting the disorder of sugar metabolism

Long-term diabetes mellitus is the main factor deteriorating to diabetic nephropathy. In order to treat diabetic nephropathy, we must start with more fundamental treatment of the primary disease: patients can improve the hyperperfusion and hyperfiltration of the kidney by injecting insulin and taking metformin, and even completely return to normal in the early stage of diabetic nephropathy, reduce the risk of deterioration and reverse nephropathy.

In addition, the new drug SGLT-2 inhibitors (currently available in China are Kagliejing, Dagliejing and Engliejing) can reduce blood sugar by reducing the reabsorption of renal tubules and promoting the excretion of sugar, and can also reduce blood pressure and weight and protect the kidney. Patients can choose them according to their specific circumstances.

2. lower blood pressure

80% of patients with diabetic nephropathy have elevated blood pressure, which accelerates the progress of diabetic nephropathy. Whether early or mid-term patients, can use Satanpril antihypertensive drugs to reduce blood pressure, early control of blood pressure, so as to benefit as soon as possible, to avoid aggravation of the disease.

3. Hypoproteinuria

Western medicine has a better effect in controlling blood sugar and blood pressure, while traditional Chinese medicine is better in reducing urinary protein and protecting renal function. The methods of fumigation and medicine bath in traditional Chinese medicine can invigorate qi, promote blood circulation and remove blood stasis, and the efficacy of medicine can reach the focus directly, thus improving the high perfusion and filtration state of kidney, protecting the stability of internal environment and reducing the leakage of urinary protein.

At the same time, patients were restricted in dietary protein intake (between 0.6 and 0.8 grams per kilogram of body weight).

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