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Diabetic nephropathy once continuous proteinuria

2017-02-02 16:37

Diabetic nephropathy once continuous proteinuria, renal function will not be contained declined, about 50% of the patients in 10-15 years for the development of end-stage renal failure. It is best to protect the kidney of diabetic patients to delay development period, is also in the late period. Once the key to proteinuria. Timely treatment.

The survey showed that the prevalence of diabetes in adults in China's urban population has reached 9.7%, which speculated that the prevalence of diabetes in China has reached 92 million 400 thousand

One of the major causes of death in diabetic uremia, a lot of people talk about "sugar" discoloration, mainly due to diabetes can cause a series of complications such as diabetes, heart disease, diabetic foot caused by the "old rotten feet", leading to diabetic retinopathy blindness, diabetic peripheral neuropathy caused by sensory abnormalities. In many complications of diabetes in diabetic nephropathy is the most easily overlooked, is the most neglected.

In fact, diabetic nephropathy is one of the most common complications. According to statistics, more than 40% of patients with kidney lesion. The clinical manifestations of diabetic nephropathy, proteinuria, progressive renal dysfunction, hypertension, edema, may occur late severe renal failure, namely uremia, is one of the main causes of death in diabetes mellitus patients.

Some good glycemic control in diabetic patients in the case still had diabetic nephropathy in diabetic nephropathy (DN), imperceptibly which is why, this is from the stage of diabetic nephropathy (DN) about DN, pided into five stages.

First stage (glomerular hypertrophy and high filtration expired): glomerular filtration rate (GFR) increased only at this stage, and urinary albumin excretion rate (UAE) was normal. Newly diagnosed type 1 DM patients had such a change, after treatment, the changes were reversible

The second stage (asymptomatic renal damage period): intermittent microalbuminuria (UAE < normal 20 micrograms / min or less than 30 mg / day), stress (such as motion) of UAE can be increased, the rest can be restored to normal. The kidney has had structural changes, GFR still has high or return to normal, normal blood pressure. This period appeared in the 2 years after the onset of DM. Some patients can be maintained during this period, the prognosis is generally good.

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