Post Date December, 02 2023
The prognosis of diabetes nephropathy is poor, and those who are seriously ill may even die within a few years, so it is particularly important to control the condition when it comes to disease.
We have known the cause of diabetes nephropathy. It is not difficult to find that the key point of controlling diabetic nephropathy is to control blood sugar, but is it so simple to control blood sugar only?
The answer is definitely no, but we still need to talk about controlling blood sugar first. After all, this is the foundation.
Controlling blood sugar requires starting from three aspects: diet, exercise, and drug control.
Diet:
The proportion of sugar, fat, and protein in the diet must be reasonably arranged and adjusted. Only in this way can we not only achieve the goal of treating diseases, but also meet the physiological needs of the human body. Carbohydrates in the diet of diabetes patients should account for 55%~60% of the total calories; Protein intake should not exceed 15% of total daily calories; The total daily fat intake should not exceed 30% of the total calories. For obese patients, especially those with hyperlipidemia or atherosclerosis, the fat intake should be adjusted based on the specific situation.
Sports:
Practice has proven that exercise can indeed help patients control their blood sugar. For specific exercise methods, readers can refer to "Overview of Life Precautions for Patients with Nephropathy (Part 2: Life)"
Drug Control:
Take drugs such as hypoglycemic, hypotensive, anticoagulant, and lipid-lowering drugs on time.
Generally, diabetes nephropathy enters dialysis earlier than other types of nephropathy. When creatinine is 400, we should consider whether dialysis is necessary.
What if creatinine is not high and blood sugar is slowly controlled, but the kidneys are still the same?
This involves expanding blood vessels to improve blood flow.
As we know, there are two main reasons why the kidney gets sick, one is due to the immune inflammatory reaction caused by toxins, and the other is that the kidney is ischemic and hypoxic, and the sugar kidney belongs to the latter. Under the condition of controlling blood sugar and blood pressure, improving renal ischemia and hypoxia can further improve the renal environment.
"The dilation of blood vessels here is not about placing stents (it's not always possible to place stents all over the body to expand blood vessels), and the dense and invisible capillaries cannot be placed inside. Instead, traditional Chinese medicine for promoting blood circulation and unblocking collaterals is used to restore some of the kidney's function while the kidney still has therapeutic value.".
