Core Tip: In addition to genetic diabetic nephropathy, the poor control of blood sugar (glucose or blood sugar fluctuation) is the basic factor leading to diabetic nephropathy, the treatment of diabetic nephropathy is particularly important to control blood sugar.
In addition to genetic diabetic nephropathy, the poor control of blood sugar (glucose or blood sugar fluctuation) is the basic factor leading to diabetic nephropathy, the treatment of diabetic nephropathy is particularly important to control blood sugar. Hypoglycemic diabetic patients how to keep blood sugar steady long-term it? How to choose hypoglycemic diabetic nephropathy it?
How glucose diabetic, keep blood sugar steady
Good control of blood sugar, reduce blood sugar fluctuations. Statistically shown. Good blood glucose control can decrease 60% with microalbuminuria, clinical proteinuria fell by 54%. Good control of blood glucose can delay or prevent the development of nephropathy, increased filtration rate reduction and improvement of microalbuminuria. Fasting blood glucose should be less than 7mmol / l, 2-hour postprandial blood glucose less than 10mmol / l glucose fluctuations than 3mmol / l.
The choice of oral hypoglycemic agents. It should be noted that most oral hypoglycemic agents is based on kidney metabolism, renal insufficiency, due to poor metabolism of the kidney, if the conventional dose may cause fatal hypoglycemia. For early diabetic nephropathy, the choice of oral hypoglycemic agents is an important part.
Insulin therapy. Insulin therapy should be used as soon as possible, especially in patients with advanced diabetic nephropathy, and suitably strong insulin therapy. Due to renal failure, insulin degradation and excretion in the kidney decreased half-life was prolonged, with peripheral tissue insulin resistance also reduces the amount of less and less, and easy to hypoglycemia, the phasing out of a small number of patients of all hypoglycemic agents, blood sugar remained relatively stable.
Frequent blood glucose, hypoglycemia alert. Diabetic renal insufficiency, it is easy to hypoglycemia, when blood glucose control should not be too strict. In general, hypoglycemia can have sweating, palpitations, hunger, dizziness, hand trembling, etc., for diabetic nephropathy in patients with renal failure, low blood sugar than when no such clinical manifestations, can only sense of apathy, the limitations of paralysis, convulsions , or even directly into a coma, etc., requires a high degree of vigilance. Note: the prevention of diabetic nephropathy patients is useful, effective prevention can reduce the pain caused by the disease!
In addition to genetic diabetic nephropathy, the poor control of blood sugar (glucose or blood sugar fluctuation) is the basic factor leading to diabetic nephropathy, the treatment of diabetic nephropathy is particularly important to control blood sugar. Hypoglycemic diabetic patients how to keep blood sugar steady long-term it? How to choose hypoglycemic diabetic nephropathy it?
How glucose diabetic, keep blood sugar steady
Good control of blood sugar, reduce blood sugar fluctuations. Statistically shown. Good blood glucose control can decrease 60% with microalbuminuria, clinical proteinuria fell by 54%. Good control of blood glucose can delay or prevent the development of nephropathy, increased filtration rate reduction and improvement of microalbuminuria. Fasting blood glucose should be less than 7mmol / l, 2-hour postprandial blood glucose less than 10mmol / l glucose fluctuations than 3mmol / l.
The choice of oral hypoglycemic agents. It should be noted that most oral hypoglycemic agents is based on kidney metabolism, renal insufficiency, due to poor metabolism of the kidney, if the conventional dose may cause fatal hypoglycemia. For early diabetic nephropathy, the choice of oral hypoglycemic agents is an important part.
Insulin therapy. Insulin therapy should be used as soon as possible, especially in patients with advanced diabetic nephropathy, and suitably strong insulin therapy. Due to renal failure, insulin degradation and excretion in the kidney decreased half-life was prolonged, with peripheral tissue insulin resistance also reduces the amount of less and less, and easy to hypoglycemia, the phasing out of a small number of patients of all hypoglycemic agents, blood sugar remained relatively stable.
Frequent blood glucose, hypoglycemia alert. Diabetic renal insufficiency, it is easy to hypoglycemia, when blood glucose control should not be too strict. In general, hypoglycemia can have sweating, palpitations, hunger, dizziness, hand trembling, etc., for diabetic nephropathy in patients with renal failure, low blood sugar than when no such clinical manifestations, can only sense of apathy, the limitations of paralysis, convulsions , or even directly into a coma, etc., requires a high degree of vigilance. Note: the prevention of diabetic nephropathy patients is useful, effective prevention can reduce the pain caused by the disease!
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