I am a type 2 diabetic for 12 years and recently, I was told my kidneys are failing. I am in stage 3 Diabetic Nephropathy and I’d like to know whether dialysis can be avoided?
A:
Diabetes is one of the two leading cause of kidney failure, so you are at high risk to suffer from end stage renal disease (ESRD) which always need dialysis or kidney transplant to deal with. However, this does not mean you will suffer from dialysis definitely. You are in stage 3 Diabetic Nephropathy now and you have chance to avoid dialysis with right treatment and comprehensive nursing care.
According to the characteristic of Diabetic Nephropathy, stage 3 kidney problem caused by Diabetes actually is the early stage of Diabetic Nephropathy. In this stage, more and more albumin leak out (usually ranges from 20 to 200ug/min) and blood pressure begins to increase. Clinical studies show that if blood pressure can be controlled well with medication, progression of Diabetic Nephropathy can be slowed down greatly. Besides, since Diabetes is the real cause of Diabetic Nephropathy, having a control about high blood sugar is also of great importance. With stage 3 Diabetic Nephropathy, aside from controlling these abnormal symptoms, another thing you need to do is to repair kidney damages. You know in stage 3 diabetic kidney problem, dilapidated glomerulus have appeared and your other glomerulus are bearing high burden and this may lead to the necrosis of them. To reduce the burden of them and avoid further kidney damages, we need to repair the injured glomerulus and make them work again. As long as much more glomerulus display kidney function, the burden of other glomerulus are reduced and further kidney damages can be avoided. In this way, end stage renal disease (ESRD) and dialysis can be avoided.
Lastly, although we can repair injured glomerulus and make dialysis get far away from dialysis, we can not cure Diabetic Nephropathy, as we can only repair these injured glomerulus and can not bring these dead glomerulus back to life.
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