diabetic nephropathy diet

1, diabetic nephropathy diet 1

2, diabetic nephropathy diet 2

3, diabetic nephropathy diet 3

4, diabetic nephropathy diet 4

5, diabetic nephropathy patients should eat more foods

1, heredity is also the cause of diabetic nephropathy

Some long-term blood sugar control is good. Glucose transporter is the main glucose transporter on glomerular mesangial cells. Recently, it has been found that the difference in menu access and regulation of mesangial cells between different individuals of diabetic patients may be one of the factors that make some patients susceptible to renal damage. Moreover, the occurrence of diabetic nephropathy also shows the phenomenon of family aggregation. In some diabetic patients with family history of hypertension, the incidence of diabetic nephropathy is also significantly higher than that of patients without family history of hypertension.

The occurrence of diabetic nephropathy is closely related to hyperglycemia. Poor blood sugar control can accelerate the occurrence and development of diabetic nephropathy, while good blood sugar control can obviously delay its development. Hyperglycemia and the increase of advanced glycation end products cause mesangial cell proliferation, extracellular matrix increase, mesangial expansion and glomerular basement membrane thickening.

4. Abnormal renal hemodynamics

plays a key role in the occurrence of diabetic nephropathy, and may even be the initial factor. Treatment of diabetic nephropathy

1. Treatment of diabetic nephropathy with oral hypoglycemic drugs < P > The active metabolites of glibenclamide and gliclazide are mainly excreted by the kidneys. When renal function is damaged, it is easy to cause hypoglycemia and should not be used. Gliquidone (Tangshiping) is mainly metabolized in the liver, and only about 5% of it is excreted by the kidney. When the renal function is incomplete, it is safer to use, and the dosage range is wide, so it can be used as the first choice for patients with diabetic nephropathy. Some metabolites of glipizide (Mepida) are excreted by the kidney, but its activity is weak and it is not easy to cause hypoglycemia, so it is safe.

2. Control blood pressure to avoid the occurrence of hypertension

Hypertension is the main factor for the occurrence and development of renal function damage in kidney patients, and it is also a controllable factor. The same is true for diabetic nephropathy. Hypertension plays an important role in the development of diabetic nephropathy. Therefore, controlling hypertension is the key to delay the development of diabetic nephropathy. To control hypertension, we must first limit patients' intake of sodium salt, and at the same time, ban smoking and alcohol, lose weight and exercise properly, which is the basis of treatment.