We all know the importance of controlling blood sugar in the treatment of diabetes. Because high blood sugar can also lead to chronic damage to organs throughout the body, and kidney damage in diabetes is a typical representative.
Survey data show that the incidence of diabetes in China is as high as 11%, and one of the third of them will develop diabetic nephropathy. Among dialysis patients with renal failure, about 20% are caused by diabetic nephropathy, and the proportion is increasing year by year.
It takes about 10 to 20 years from the onset of diabetes to the development of diabetic nephropathy and then to renal insufficiency. Some people with poor glycemic control can develop diabetic nephropathy in just 5 to 10 years. At present, diabetic nephropathy has replaced chronic glomerulonephritis and has become the main hospitalization of patients with chronic kidney disease.
Once diabetic nephropathy occurs, it is important to do these five things well under the premise of following the doctor's instructions and being active!Delay the progression of renal disease to the greatest extent possible, as follows:
1. Control blood sugar
Good blood sugar control can reduce the chance of developing diabetic nephropathy by half in people with type 1 diabetes and 1 3 in people with type 2 diabetes.
If the blood sugar control is unstable due to diet alone or oral hypoglycemic drugs, the medication should be adjusted according to the doctor's instructions in time. As a patient, monitor your blood sugar regularly while taking your medications** as prescribed. It is important to provide timely feedback on recent blood glucose levels to the treating physician for medication adjustments.
2. Control blood pressure
High blood pressure is a very important factor that induces the exacerbation of diabetic nephropathy, so diabetic patients should maintain a light diet and strictly limit the intake of salt not higher than 6g (equivalent to 1 beer bottle cap). Diabetic patients with hypertension must be treated with antihypertensive drugs**, and blood pressure must be strictly controlled at a normal level, preferably below 130 80mmHg or maintained at an appropriate level according to the doctor's recommendations.
3. Control blood lipids
Hyperlipidemia has an extremely adverse effect on diabetic nephropathy, especially with cardiovascular complications, if it is found that the blood lipids are high, it should be corrected by taking hypolipidemic drugs under the guidance of a doctor.
4. Control your diet
A low-protein (as high quality animal protein as possible) diet can slow the rate of kidney damage in people with diabetes. The standard low-protein diet for diabetic patients is 0. per kilogram of body weight per day6～0.8g protein, and pay attention to ensure that there are enough calories in the food. Patients with liver disease, pregnancy, or growth should pay special attention to not overly restricting protein intake.
5. Maintain good living Xi
Appropriate weight control, moderate exercise, quit smoking and limit alcohol, regular work and rest, and maintain good sleep quality.
That's all for this issue, how many of the above five things have you done?
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