Prevention of diabetic nephropathy three points

Prevention of diabetic nephropathy is more important than treatment, prevention can start from the following three main areas:

First, the strict control of blood sugar. In addition to proper diet in patients under the guidance of specialists, exercise, proper use of hypoglycemic drugs, but also should strive to eliminate some of the factors that seriously interfere with glucose, such as constipation, insomnia, anxiety, depression and a variety of acute and chronic infections, fatigue, pain, irregular menstruation, etc., in conjunction with traditional Chinese medicine.
Second, the blood circulation meridians. TCM understanding the pathogenesis of the disease is the collaterals have stasis, for this, the principles of Chinese medicine is to treat blood circulation meridians, medication such as leech powder,Cerebral blood kang oral liquid, CSDP and so on. Early use of herbal Live blood links contact us microvascular disease can significantly slow the development of kidney and retina.
Third, prevention and treatment of atherosclerosis. Extensive clinical experience suggests that a simple blood glucose is controlled by the development of diabetic nephropathy role is quite limited, and only the relevant factors for atherosclerosis active treatment, will it be possible to effectively combat diabetic nephropathy, specific treatment is guidance specialists under the rational use of antihypertensive drugs, lipid-lowering drugs, reduce blood viscosity, prevent thrombosis.

What factors does the formation of diabetic nephropathy?

Diabetic nephropathy is one of the many complications of diabetes in which the main symptom is the emergence of glomeruli in the kidney, and prone to deteriorate. Once such symptoms would be late. So what are the factors of diabetic nephropathy forming it? Here introduce the factor of diabetic nephropathy:
First, genetic factors
Most people with diabetes, kidney disease patients eventually will not happen, but some long-term good glycemic control in patients with diabetic nephropathy also can occur, the main reason is the formation of the major glucose transporter in mesangial cells.
Second, high blood factors
Most of diabetic nephropathy and high blood sugar have a close relationship, when the patient's body in poor glycemic control, high blood sugar and glycation Light products after causing increased mesangial cell proliferation, extracellular matrix increased mesangial expansion, glomerular basement membrane thickening, thus contributing to the occurrence of diabetic nephropathy.
Third, hypertension factor
Hypertension and diabetic nephropathy although no direct relationship, but after the original blood pressure, high blood pressure during the course of elevated microalbuminuria can accelerate the deterioration of renal function in diabetic nephropathy patients, and induce diabetic nephropathy.
Fourth, renal hemodynamic abnormalities factor
Renal blood flow is the key factors play a role in the occurrence of diabetic nephropathy, even in the likely start of factors. Generally do a detailed analysis of the following four conditions:
1, when high blood sugar, increased pressure capillary wall, promote the expansion of mesangial cells, epithelial cell foot process fusion and produce dense droplets, glomerular epithelial cells detached from the basement membrane, resulting in glomerular perfusion was high, reverse osmosis process state.
2, the glomerular basement membrane collagen Ⅳ messenger nucleic acid increased sugar to make the basement membrane thickening, and ultimately the formation of diffuse mesangial, nodular lesions, which occurred glomerulosclerosis.
3, in the case of increased pressure in renal blood flow, increased protein filtration and promote growth of the matrix to form the glomerular basement membrane and mesangial resulting nodular glomerulosclerosis.

The five stages of diabetic nephropathy

Any disease produces are periodic, different stages have different treatment at the same time, not any stage of the disease is to use the same method of treatment. Let's look at the five stages of the disease of diabetic nephropathy is what kind of, respectively, for the treatment of patients in the future to do the reference. Diabetic nephropathy is one of the chronic complications of diabetes,Below is the pathogenesis of diabetic nephropathy five stages.
First, patients with diabetic nephropathy, renal blood flow and glomerular capillary perfusion and internal pressure were increased, there is no damage and clinical symptoms histopathology.
Second, patients with diabetic nephropathy, there is no obvious clinical symptoms, so treatment at this time is the best stage.
Third, there will be a continuous trace albuminuria in patients with moderately elevated blood pressure in patients with this issue, part of the lower blood pressure can reduce the urine trace albumin excretion.
The fourth, for clinical diabetic nephropathy period, this period is characterized by a large number of albuminuria, may be accompanied by hypertension, edema, and even nephrotic syndrome "appearance, normal or slightly decreased glomerular filtration rate. For intervention treatment of this period, can reverse and not slow down the progress of renal failure, but if not treated, will gradually decline in renal function, if accompanied by hypertension, or smoking, decline in renal function will be faster.
Five, is ESRD, also known as uremia, generally occurs in 20 to 40 years after the onset of diabetes. This issue of diabetic kidney disease, because of its extensive glomerular basement membrane thickening of the glomerular capillary lumen stenosis and more progressive glomerular deserted, kidney filtration
Function decreased, leading to kidney failure. Also secondary uremic neuropathy and cardiomyopathy. These serious complications in uremic patients with diabetic nephropathy is often the cause of death.

Children of diabetic nephropathy how children better care

Now the high incidence of diabetic nephropathy, and even the onset of the crowd of children has become a major disease, give the child a healthy body brings great harm. So as important as treatment and care. So, how children with diabetic nephropathy child care situation? Below or please us Beijing Armed Police Corps Hospital of kidney disease experts to find out more about it.
1, diet care 
Generally do not particularly limited, but the digestive gastrointestinal mucosal edema diminished capacity, should pay attention to alleviate the burden on the digestive tract, to digestible diet, such as high-quality protein (milk, eggs, fish, poultry, etc.), a small amount of fat, foot the amount of carbohydrates and high vitamin diet; salt intake in the general control of the daily 2g, severe edema can salt-free diet, but shall be continuously adjusted serum sodium levels should not be a long term salt; proteinuria during a large amount of protein intake should not be too much, because excessive intake of protein can cause glomerular filtration, increased proteinuria and to promote the progress of kidney disease, it is not a high protein diet; hyperlipidemia should Eat to mitigate animal fat to vegetable fat or fish oil appropriate, while increasing diet rich in soluble fiber, such as oats, rice bran and beans; proteinuria due to extensive protein binding of calcium along with the loss, while corticosteroids can reduce the intestinal absorption of calcium, and there is increased parathyroid function and promote bone resorption increases, can cause the body's calcium and osteoporosis, should pay attention to intake of calcium and vitamin D-rich foods.
2, to prevent infection 
Diabetic nephropathy in children due to the long hypoalbuminemia and immunoglobulin reduced, resulting in lower body resistance, easy to secondary infection. So the children of diabetic nephropathy to do morning evening care, prevention of oral and urinary tract infections. Interior should be disinfected regularly, regular window ventilation to keep fresh air, temperature and humidity appropriate, avoid contact with children with infectious diseases, who refuse to have visitation infectious diseases in children enter the room.
3, to provide a suitable environment to rest 
Children with diabetic nephropathy due to long hospital stay, room should be clean, comfortable and the room layout to fit the psychological characteristics of children, full of childlike; relapse due to fatigue is caused by the incentive, it should be appropriate to restrict the activities of diabetic nephropathy in children, but generally do not have strict bed rest, only severe edema are required to stay in bed; weekdays can be timed to move slightly out of bed, can maintain normal patterns of life, but also can promote blood circulation, prevent thrombosis, but do not overwork in order to avoid repeated illness.
Described above is that the children of diabetic nephropathy how children better care of some details related to the introduction, I hope we can bring some help. What if you do not understand, you can leave a message to chinakidneyhospital@gmail.com, we will promptly answer your questions.

Diabetic nephropathy patients with high blood sugar can take vitamin C piece?

According to the survey, with the increase of people's living standards improve and the working pressure, diabetes and kidney disease, more and more people. We all know, whether patients with diabetes or kidney disease patients in the diet has strict requirements, because improper diet is likely to cause the disease worse. So, diabetic nephropathy patients with high blood sugar can eat vitamin C tablets do?
Studies have shown that for a simple diabetes, they can take vitamin C because vitamin C has a variety of effects, including anti-scurvy, prevent arteriosclerosis, anti-oxidation, improve human immunity and, more importantly diabetics eat vitamin C does not increase blood sugar.
Meanwhile, kidney patients must give adequate vitamins, in particular vitamin C, due to long-term patients suffering from chronic nephritis may have anemia, vitamin C can increase iron absorption, so as to alleviate and prevent anemia. Meanwhile, vitamins can not only can prevent scurvy, and can help blood to promote healing and enhance the body's resistance to infectious diseases. In addition, vitamin C can prevent colds, promote the regeneration of liver cells and liver glycogen synthesis, enhance liver detoxification capacity, it can reduce arsenic, mercury toxicity to the liver, to prevent the lead, benzene poisoning. Vitamin C can also reduce blood cholesterol and capillary fragility, bleeding tendency prevent, for it is very beneficial in patients with cardiovascular disease. Although vitamin C over a variety of functions, but due to poor kidney function in patients with kidney disease but not much clothing. This is because, although the body of excess vitamin C can be excreted with the urine, but large doses of vitamin C films, increased the burden on the kidneys. Therefore, patients with kidney disease, will be leaving due to overburdened more debilitating kidney, therefore, no matter what kind of vitamin C have medical effects, if leaving their ills because it got worse, then it will make vitamin C "had more than power," taking it loses meaning.
In summary, patients with diabetic nephropathy associated with high blood sugar can eat vitamin C, but be aware that the amount of intake, the intake of too much will increase the burden on the kidneys. More importantly, we do not advocate patients taking vitamin C tablets, the body needs vitamin C can be obtained from food, which is rich in vitamin C foods are tomatoes, green leafy vegetables, novelty dates, watermelon, psychological beauty radish, cucumber, watermelon, oranges, kiwi fruit and natural juices and other foods. Where for edema patients, should avoid the intake of watermelon. Therefore, patients should be selected according to their condition suitable food. If you do not understand where you are free to consult our online doctor, we will promptly reply to you.
In addition, if you want to know the treatment of diabetic nephropathy natural therapies, you can send mail to chinakidneyhospital@gmail.com, we will be the first time to introduce you to our therapy.

How to care for diabetic nephropathy

Diabetic nephropathy is one of the most common chronic complications of diabetes, and the emergence of diabetic nephropathy can be described as the patient's health has further threats. In addition to taking the clinical treatment of patients, the second is for illness care, which is helpful for treatment. That following a brief introduction about the life of the patient how to do it.
1 provide a suitable environment to rest. Children with diabetic nephropathy due to long hospital stay, room should be clean, comfortable and the room layout to fit the psychological characteristics of children, full of childlike; relapse due to fatigue is caused by the incentive, it should be appropriate to restrict the activities of diabetic nephropathy in children, but generally do not have strict bed rest, only severe edema are required to stay in bed; weekdays can be timed to move slightly out of bed, can maintain normal patterns of life, but also can promote blood circulation, prevent thrombosis, but do not overwork in order to avoid repeated illness.
2 to prevent infection. Diabetic nephropathy in children due to the long hypoalbuminemia and immunoglobulin reduced, resulting in lower body resistance, easy to secondary infection. So the children of diabetic nephropathy to do morning evening care, prevention of oral and urinary tract infections. Interior should be disinfected regularly, regular window ventilation to keep fresh air, temperature and humidity appropriate, avoid contact with children with infectious diseases, who refuse to have visitation infectious diseases in children enter the room.
3 dietary treatments. Generally do not particularly limited, but the digestive gastrointestinal mucosal edema diminished capacity, should pay attention to alleviate the burden on the digestive tract, to digestible diet, such as high-quality protein, low in fat, a sufficient amount of carbohydrates and high vitamin diet; salt intake the amount of the general control of the daily 2g, severe edema can salt-free diet, but shall be continuously adjusted serum sodium levels should not be a long term salt; lot during proteinuria should not be excessive protein intake to control the daily 2g / diabetes nephropathy kg is appropriate, because excessive intake of protein can cause glomerular filtration, increased proteinuria and to promote the progress of kidney disease, it is not appropriate high-protein diet.
4 To alleviate hyperlipidemia should Eat animal fat to vegetable fat or fish oil is appropriate, while increasing diet rich in soluble fiber, such as oats, rice bran and beans; Because proteinuria and protein binding of calcium subsequently lost, while corticosteroids can reduce the intestinal absorption of calcium and increased parathyroid function and promote bone resorption increases, can cause the body's calcium and osteoporosis, should pay attention to the intake of rich food calcium and vitamin d.
5 patients with diabetic nephropathy, often accompanied by vascular disease, can cause limb ischemia, or blood vessel blockage, infection or trauma on the basis of the high incidence of tissue necrosis. So, every night with warm feet 20min, then gently dry with a soft towel to prevent any minor damage. Nails should not be too short, so as not to damage a ditch caused by infection, the case of dry brittle nails, can be coated vegetable oil or compound borax solution soak. Frequently observed dorsalis pedis pulse, skin color and elasticity. Do not wear tight shoes, shoes permeability is better. Once the foot lesions should be treated early.
If you have any questions, you can message to chinakidneyhospital@gmail.com, we will give you an answer as soon as possible.

Diabetic diet principles

Diabetic nephropathy is particularly common and troublesome complication of diabetes. In other words, diabetic nephropathy is one of the most serious complications of diabetes, and is the main cause of end-stage renal disease.
Diabetic nephropathy is a major microvascular complications of diabetes, mainly referring to diabetic glomerulosclerosis, a kind of blood vessel damage to the main glomerular lesions. Early asymptomatic, blood pressure may be normal or high.
With the incidence of diabetes and increased duration of the extension. Early diabetic kidney volume increases, increased glomerular filtration rate, showed a high filtration state, then gradually appear gap proteinuria or microalbuminuria, with the extension of the course persistent proteinuria, edema, hypertension, renal glomerular filtration rate is reduced, thereby renal insufficiency, uremia, is one of the leading causes of death from diabetes.
Diabetic nephropathy and diabetes also stressed the ordinary diet. However, it should be noted that: Diabetic nephropathy after, especially into the stage of diabetic nephropathy after renal insufficiency, renal protection has become the central issue.
Of course, eating arrangements should also be considered to minimize the burden on the kidneys. Therefore, for kidney disease dietary requirements should follow the following principles: high quality low-protein diet can increase protein intake too much burden on the kidneys, so to control the total amount of protein intake.
Protein is an important nutrient, the body can not do without, especially the essential amino acids that the body can not synthesize their own foreign intake must therefore contain more high-quality protein essential amino acids should be guaranteed.
Trace protein high daily protein intake 1.2g / standard weight; patients with elevated serum creatinine controlled daily protein 0.8g / standard weight.
Specific implementation: vegetable protein (containing less essential amino acids, are inferior protein) intake should be minimized. Creatinine elevated fasting soy products should generally be appropriate to limit the staple food (flour, rice also contains a certain amount of vegetable protein).
Milk, eggs, fish, lean meat and other animal protein (including essential amino acids, are of high quality protein), may be appropriate to eat. Especially in the milk, egg protein is appropriate. Adequate calorie low-fat diet supplemented with diabetic nephropathy should supply enough heat to avoid burning due to insufficient protein supply heat energy.
Calorie fats can provide more, but because of kidney failure can promote progress, so still requires low-fat diet, control fat intake, inedible animal fat and high cholesterol foods. More than 60% of total carbohydrate calories.
Specific implementation: diet with yam, taro and other starchy foods that are high, reducing the staple food intake. May be appropriate to eat noodles, vermicelli, noodles, etc., but should pay attention to cut food. More so-called wheat starch (note different from ordinary flour), big cities many supermarkets for sale, almost no protein.
With this wheat starch, with mashed potatoes, sweet potato noodles, yam powder, steamed buns, rolls, buns, etc., can add calories, protein intake without increasing the plant, will not increase the burden on the kidneys, the most suitable for diabetic nephropathy uremic of patients with eating disorders.
Calcium phosphorus diet diabetic nephropathy renal insufficiency, electrolyte imbalance is common in low calcium high phosphorus, parathyroid low calcium high phosphorus caused by the "righting a wrong imbalances" also accelerate the progress of renal failure, so the diet should pay attention to calcium phosphorus . Regrettably high calcium foods higher phosphorus, such as ribs, shrimp and so on. So calcium phosphorus diet emphasizes low phosphorus diet.
Specific implementation: Should fasting animal organs such as the brain, liver, kidney, etc., eat pumpkin seeds, peanuts and other nuts. Low-salt diet diabetic nephropathy patients should limit salt intake.
Some dishes should be as tasteless, salt intake should be less than 5 grams per day in patients with heart failure or edema should be limited to two grams a day, while also limiting the intake of water. Add plenty of vitamins, trace elements. High fiber diet high fiber diet helps maintain smooth stool, toxins excreted in human metabolism to maintain balance.
Specific implementation: eat more whole grains should be appropriate (such as cornmeal, buckwheat, etc.), taro, kelp, certain fruits and vegetables. But it should be noted that: common electrolyte disorder in patients with renal failure, can be expressed as hyperkalemia and so on.
Eating fruits and vegetables should pay attention to avoid high potassium varieties, such as oranges, bananas and so on. Diabetic nephropathy Diabetic nephropathy not spicy as complications of diabetes, diet and diabetes, there are differences, because diabetic diet principles require high-quality Low protein diet.
The so-called high-quality milk protein is the best, followed by the eggs, egg proteins, and then followed by fish protein, lean protein, and vegetable protein for poor quality protein, such as soy products, daily bread, rice contains protein, should be limited so as not to increase the burden on the kidneys. Special attention not to have a stimulating effect on the kidneys to eat foods such as mustard, pepper, etc., otherwise it will aggravate the condition of the kidney.
Diabetic patients with nephropathy need to keep the total daily staple at 250 to 300 grams, vegetables you can eat. Although proteinuria, but with normal renal function, the daily protein intake best be relaxed to 80 to 100 grams is appropriate.
In addition, the diet should pay attention to calcium phosphorus, calcium is usually something often high phosphorus, such as organ meats, ribs, shrimp, bone powder and the like, is certainly high phosphorus, should not eat.

Factors affecting the prognosis of diabetic nephropathy has what, how to improve

Diabetic nephropathy is a relatively poor prognosis of kidney disease. Many factors influence its prognosis is affected, then the prognostic factors of diabetic nephropathy, what does? How to improve the prognosis of diabetic nephropathy it? Next, look at the following article, you can find the answer in the following article. If you have any questions, you can consult our free online doctor or at the bottom of the message, we will promptly reply to you.
1 proteinuria
Proteinuria is a major factor affecting the prognosis of patients with diabetic nephropathy, proteinuria significantly affect the amount and duration of the prognosis. Proteinuria of diabetic nephropathy microalbuminuria in turn based on the severity of the progress, clinical proteinuria, severe proteinuria, these three proteinuria and evolution is a gradual process, once the most progress will continue. Accompanied by proteinuria became clear, the disease will continue to increase, so there edema, hypoalbuminemia, hypertension and other manifestations, and soon there will be renal failure.
2 hypertension
Hypertension is another important factor that most diabetic patients with hypertension, the pressure can be increased glomerular proteinuria aggravated discharge accelerate kidney disease progression and promotion of deterioration of renal function.
3 glucose
Blood sugar is another important factor, sustained high blood sugar can cause glomerular pressure, high perfusion, high filtration "three high" state, More simply kidney burden, work overload, this situation persists, will lead to glomerular sclerosis and fibrosis, and finally the development of uremia.
4 high cholesterol
High cholesterol by changing blood viscosity and erythrocyte fragility caused kidney damage.
In addition, high-protein diet, smoking, obesity, also can affect the prognosis of diabetic nephropathy in a certain extent. Now that we understand the factors that influence the prognosis of patients with diabetic nephropathy, how to improve it?
First, we should control these will affect the prognostic factors of diabetic nephropathy, which control proteinuria, hypertension, high blood sugar, high cholesterol and reducing the intake of high protein diet. So, how to control it? Addition to diet, effective therapy is also essential, Micro-Chinese Medicine penetration therapy is a good choice for diabetic nephropathy, the kidney because it can repair damage from improved kidney function began to reduce symptoms. In addition, appropriate exercise can not only enhance the immune system, you can also control their weight. Finally, a set to quit drinking, keep a good attitude, and establish the confidence to overcome the disease.
These are the effects of diabetic diet and how to improve the prognosis, hoping to be helpful to you if you want to learn more about our penetration of Micro-Chinese Medicine therapy, you can send an email to chinakidneyhospital@gmail.com, we will promptly reply to you.