2. Prescription for Diabetic Nephropathy 2
3. No.3 prescription for diabetic nephropathy
4. The fourth party of diabetic nephropathy
5. Food suitable for diabetic nephropathy patients.
The cause of diabetic nephropathy is 1, and heredity is also the cause of diabetic nephropathy.
Some patients with good long-term blood sugar control will also develop diabetic nephropathy. Glucose transporter is the main glucose transporter in glomerular mesangial cells. Recently, it has been found that the difference of menu arrival and regulation of GLUT 1 in glomerular membrane cells 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 lead to the proliferation of glomerular mesangial cells, the increase of extracellular matrix, mesangial expansion and the thickening of glomerular basement membrane.
4. Due to abnormal renal hemodynamics.
It plays a key role in the occurrence of diabetic nephropathy, and may even be the initial factor.
Diabetic nephropathy treatment 1, diabetic nephropathy treated with oral hypoglycemic agents.
The active metabolites of glibenclamide and gliclazide are mainly excreted through the kidney. When renal function is damaged, it is easy to cause hypoglycemia and should not be used. Gliquidone (Tang Shiping) is mainly metabolized in the liver, and only about 5% is excreted through the kidney. It is safer to use when renal function is incomplete, with a wide dosage range, and can be used as the first choice for patients with diabetic nephropathy. Some metabolites of glipizide 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 hypertension.
Hypertension is the main factor for the occurrence and development of renal function damage in patients with renal diseases, and it is also a controllable factor. So is 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 should first limit the intake of sodium salt, and at the same time, we should abstain from smoking and drinking, lose weight and exercise properly, which is the basis of treatment.