What is the treatment for CKD secondary to diabetic nephropathy

Diabetic nephropathy is one of serious complications of diabetes.If no aggressive treatment is applied,chronic kidney disease(CKD) will be the result.What is the treatment for CKD secondary to diabetic nephropathy?

CKD secondary to Diabetic Nephropathy

The tiny blood vessels with tinier holes on them act as filters in kidneys.In right condition,the small molecular waste products can pass through the tiny holes and are filtered into urine.The large molecular useful substances will be preserved in body as they can not squeeze through the holes.

However,in Diabetes,if blood glucose keeps high over time,it will cause extra strain on the blood vessels.Over time,the blood vessels will become impaired and the holes will become bigger. As a result,proteins will be leaked into urine.In the early stage of diabetic nephropathy,only microalbumin is present in urine. However,if no intervention treatment is adopted, the damage to the small blood vessels will become more severe.CKD will be the result.In that case,more clinical signs will appear like heavy proteinuria,edema,high blood pressure etc.

Treatment for CKD secondary to diabetic nephropathy

The first treatment goal is to control diabetes aggressively. Effective control of blood glucose can reduce the strain on kidneys to slow down renal function deterioration.

In addition,a series of risk factors can worsen renal function like proteinuria and high blood pressure.If these conditions can be controlled aggressively,it will improve the prognosis of diabetic nephropathy remarkably.

CKD in diabetic nephropathy results from damage to nephrons. To control CKD completely,the patients should have a treatment to restore the impaired nephrons and make the kidneys function better.Stem Cell Therapy is an effective treatment for CKD in diabetic nephropathy.The stem cells can different into new cells to replace the impaired renal functional cells.If so,the kidney structure will be restored and CKD will be reversed.

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Diets for Microalbumin with 15 Years Diabetes

Diets for Microalbumin with 15 Years DiabetesIt has been observed in clinic that 15 years diabetes can have already caused renal damages and microalbumin is the most important sign of early diabetic kidney disease. Timely and effective treatment of microalbumin can help stabilize the illness conditions or even reverse renal damages so as to help patients avoid progressing into clinical diabetic nephropathy or end stage renal disease.

Besides scientific and systemic medications and treatment, daily diets play vital adjuvant treatment role in treating microalbumin and reducing protein in urine for diabetes patients.

The following is a diet guidance for diabetes patients with microalbumin.

Well control of high blood sugar is very crucial for controlling protein in urine, slowing down the progression of diabetic nephropathy and preventing other complications of diabetes. It has been found that high glycemic index foods have great impact on the blood sugar after meals, therefore it is advised that diabetes patients should have low glycemic index foods. Sugar, carbohydrates, starches should be limited or totally avoided.

Controlling high blood pressure is helpful for reducing potential renal damages and treating microalbumin. High-protein, high-fat and high-salt foods should be controlled. Low-salt diet helps control high blood pressure and reduce the risk of developing water retention; low-protein diet helps reduce burdens to the kidneys and help protect residual kidney functions and low-fat diet helps lower high blood pressure and high blood cholesterol so as to much reduce the risk of cardiovascular complications.

Diabetes patients with microalbumin should totally avoid alcohol. Impaired kidneys can not filter the toxins and wastes produced after drinking alcohol. Drinking alcohol can make microalbumin even worse, therefore alcoholic drinks should be immediately stopped. More water intake is recommended because dehydration can further increase protein in urine.

Besides, there are many vegetables, fruits and other foods as well as natural herbal teas that can help reduce high blood sugar level so as to help improve illness conditions and reduce microalbumin.

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Causes And Diagnosis Of Diabetic Nephropathy

Diabetes and high blood pressure are two major leading causes of kidney disease. If kidney disease is caused by high blood pressure, we call it hypertensive nephropathy. In the same way, diabetic nephropathy is a damage to your kidney caused by diabetes with. If untreated timely, it may progress into kidney failure. People with kidney disease often have diabetes, but it does not mean everyone with diabetes has kidney damage.

Causes of diabetic nephropathy

1. Common cause

The kidneys have tiny blood vessels which help filter wastes out of the body. If you have diabetes, your blood sugar is usually very high, which can destroy your blood vessels. For a very long time, if you do not recognise your high blood sugar, the kidneys may be not able to do its job well. Later, kidneys may stop working completely, which is known as kidney failure.

2. Contributory or predisposing factors:

Obesity is a major factor in the progression of diabetic nephropathy.

Systemic hypertension contributes to the progression of diabetic nephropathy.

Uncontrolled hypertension and poor glycemic control also lead to the development and progression of diabetic nephropathy, and even cause end-stage renal disease.

Hyperlipidemia is also a recognized factor in the progression of diabetic nephropathy.

3. It is more likely for you to have diabetic nephropathy, including:

You also have high blood pressure or high cholesterol.

If you smoke, you have a high risk of having diabetic nephropathy.

Family history of nephropathy may increase the risk of progression to end-stage renal failure in patients with type 2 diabetes.

Native Americans, African Americans, and Hispanics (especially Mexican Americans) have a higher risk of diabetic nephropathy.

Diagnosis of diabetic nephropathy

Diabetic nephropathy is diagnosed using simple tests. The tests are used to check for a protein called albumin in the urine. Urine does not usually contain protein. But in the early stages of kidney disease, before you feel any symptoms, some protein may be found in your urine due to the injured kidney function, which can not filter protein out of the body.

Finding your kidney damage more early can keep it from getting worse. So it is important for diabetic patients to do regular tests:

1. If you have type 1 diabetes (it refers that when the body’s immune system destroys the insulin-producing cells of the pancreas, type 1 diabetes presents), getting a urine test every year is necessary for you after you have had diabetes for 5 years.

2. If your child has diabetes, you should let your child do yearly testing when your child is 10 years old and has had diabetes for 5 years.

3. If you have type 2 diabetes (called non-insulin-dependent diabetes), you should begin testing at the time you are diagnosed with diabetes.

This article introduces the causes and diagnosis of diabetes nephropathy, and I hope they will do some help for you.

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Why Do Diabetes Patients Test Glycosylated Hemoglobin

Does glycosylated hemoglobin have any relation with Diabetes. If I answer this question, I say yes. Want to know clearly? Well, follow us to find the answer.

The typical characteristics of Diabetic Mellitus are high blood sugar and glycosuria. And Diabetic Mellitus patients show the sign of drinking more, polyphagia, polyuria and weight loss clinally.

1. What is glycosylated hemoglobin?

Glycosylated hemoglobin is the product of combination of hemoglobin in red blood cells and blood sugar in bloodstream.

2. What is blood sugar?

Blood sugar is monosaccharide in bloodstream from where carbohydrates of foods decomposite. Generally speaking, it refers to glucose. Blood sugar tests results reflect the present blood sugar level. In addition, glycosylated hemoglobin tests usually can reflect a patient’s blood sugar control within 8-12 weeks. Glycosylated hemoglobin is the ‘ Golden Standard ‘ of new Diabetic Mellitu diagnosis and treatment monitor. As a result, if the lab test shows your glycosylated hemoglobin level rise, it can be a reliable indicator which can measure that a Diabetic Mellitus patient have a long-time of hyperglycemia. IDF (International Diabetes Federal) suggests that patients should control glycosylated hemoglobin under 6.5.

3. Tests standard

Glycosylated hemoglobin is 7%-8%. In this case, patients should pay attention to postprandial blood sugar which is helpful for reducing hypoglycemia reaction. If it is more than 8%, they should give attention to both limosis blood sugar and postprandial. And if it is less than 8%, they should improve postprandial blood sugar. Besides, if limosis blood sugar is more than 7.1mmol/l and glycosylated hemoglobin is more than 8%, it indicates that recent blood sugar control is not good, so patients should adjust their treatment plan.

4. The condition of glycosylated hemoglobin and blood sugar control

Blood sugar is 4%-6% which shows your blood sugar control is normal.

Blood sugar is 6%-7% which indicates your blood sugar control is ideal.

Blood sugar is 7%-8% which indicates your blood sugar is just ok.

8%-9% of blood sugar control is not ideal. And you should enhance your blood sugar control and care about your diet structure and exercise. Besides, you need to adjust your therapy plan under the guide of your doctor.

If it is more than 9%, blood sugar control is very bad which is the dangerous risk factor of chronic secondary complications. Diabetic Nephropathy, arteriosclerosis, cataract and other secondary complications may present.

If your lab tests show your glycosylated hemoglobin control is not ideal, you should adjust it as early as possible under the guide of your doctor. Besides, if you want to ask consultants or practitioner of Chinese medicine for help, you can click the dialogue box of customer service directly and find your needed consultant.

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Treatment For 5 Stages Of Diabetic Kidney Disease

Diabetic kidney disease is common complication of diabetes and it is caused by microvascular lesions in the whole body due to high blood glucose level. At the early stage patients can have bubbles in urine and gradually develop renal damages, high blood pressure, swelling and in the end stage develop renal failure.

Diabetic kidney disease can be divided into 5 stages according to the amount of albumin in urine and severity of renal damages.

5 stages of diabetic kidney disease

1. Glomeruli and kidneys are enlarged. Patients can have foams in urine which can be recovered after insulin treatment.

2. It occurs 2 years after the onset of diabetes and some patients can stay in this stage for years without progressing into the 3th stage. If blood sugar is not well controlled or after strenuous activities, patients can have microalbuminuria which is still reversible.

3. It is high-risk and also very crucial period for diabetic kidney disease patients. Typical diabetic kidney disease develops into this stage after 10-15 years with continuously worsening bubbles in urine. Patients will begin to have high blood pressure. Well control of high blood pressure can alleviate proteinuria, slow down illness progression and protect kidney functions.

4. It is called clinical diabetic kidney disease characterized by massive albumin in urine, swelling, high blood pressure. It takes about 15-25 years to progress into this stage and daily protein leakage in urine increases to more than 0.5g. Effective anti-hypertensive treatment can slow down decline rate of GFR and protect kidney function.

5. It is the end stage of diabetic kidney disease with severe hypertension and serious uremic states and advanced renal damages.

Treatments for diabetic kidney disease

Diabetic kidney disease can also be divided into early and clinical diabetic nephropathy in clinic. Early stage is microalbuminuria and clinical stage is obvious albumin in urine. Monitoring and treating protein in urine is very crucial for diabetic kidney disease patients. Once there is clinical proteinuria, renal functions will experience irreversible and continuous decline and the average life expectancy after proteinuria is about 10 years.

Well control of high blood pressure is also effective at reducing proteinuria and protecting kidney functions.

ACEI and ARB drugs are commonly prescribed to treat proteinuria, lower high blood pressure. However when illness has progressed into the end stage, dialysis, kidney transplant, Micro-Chinese Medicine Osmotherapy and immunotherapy will be offered.

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