Be Aware That Diabetes Has Worsened When These Two Indicators Are Abnormal

2018-12-06 01:48

Be Aware That Diabetes Has Worsened When These Two Indicators Are AbnormalDiabetic nephropathy has always been the "outstanding" kidney disease, because of the treatment difficulty, poor prognosis and early dialysis.

With uncontrolled diabetes for years, diabetics will have Diabetic Nephropathy within 10-20 years. With the continuous aggravation of the disease, a large of glomeruli are damaged, resulting in glomerulosclerosis and continuous decline in renal function. Overtime it will progress to Kidney Failure or even uremia.

For this troublesome kidney disease, diabetics should do early detection and early treatment. In general, Diabetic Nephropathy can be considered clinically if it meets the following four points:

1. More than 10 years of diabetes history

2. Microalbuminuria appears;

3. Diabetic retinal fundus lesions (fluorescence fundus angiography can be detected);

4. Exclude other causes of kidney disease

Here point 2 is emphasized:

In the urine routine test, the microalbumin in the urine belongs to the microalbuminuria within the range of 20mg/L-200mg /L. At this time, if the injured nephron is actively treated and the renal fibrosis is reversed as far as possible, there is still the possibility of cure.

However, if urinary microalbumin exceeds 200mg/L, renal function will be seriously damaged at this time. The most important thing is to prevent protein leakage and avoid worsening renal function.

In addition, urinary albumin/creatinine ratio is also an important indicator of monitoring diabetic nephropathy. Once these two indicators are abnormal, do not be careless!

And when these four symptoms appear, diabetics should be alert.

1. Weakness

Due to kidney damage, excess water and metabolic wastes in the body are difficult to discharge so that toxins continue to accumulate in the body, which can cause fatigue, weakness and other symptoms. Check your kidneys if you can't relieve the weakness after rest.

2. Edema

Edema is one of the common symptoms of Diabetic Nephropathy. Once the kidneys are damaged, the balance of water and sodium will be broken so as to cause edema. And when too much protein goes out of body, there is not enough protein to absorb water, leading to edema. Therefore, swelling is often accompanied by proteinuria.

3. Proteinuria

Without good control, high blood glucose will damage kidneys, leading to protein leakage.

4. Nausea and vomiting

It is often seen in patients with uremia, when the accumulated urea in the patient's body is discharged into the digestive tract, and ammonia is formed by the action of bacterial urease in the intestine, which can stimulate the gastrointestinal mucosa and cause nausea and vomiting.

The treatment of diabetic nephropathy is bound to be a protracted battle. Patients must control blood sugar to avoid further damage to the kidney; Follow doctor's advice, do not reduce or stop medicine without authorization, hold to standard treatment, etc. They can help stabilize the condition.

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