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Controlling this indicator well may prevent diabetic nephropathy and stay away from uremia

author:Liu Weijing is the director of the Department of Nephrology and Endocrinology

Diabetic nephropathy is one of the important causes of uremia, and it progresses very quickly, and once kidney damage occurs, it progresses to uremia much faster than other kidney diseases.

In the early stages of diabetic nephropathy, the earliest symptom is microalbuminuria. Don't underestimate this trace proteinuria, it can also cause damage to the kidneys, if it is not controlled, let it develop, there is obvious proteinuria, it has reached the point of irreversibility, and the only way to delay the development of uremia is as much as possible.

Therefore, for diabetic patients, in addition to controlling blood sugar, it is also necessary to control proteinuria.

Controlling this indicator well may prevent diabetic nephropathy and stay away from uremia

So, what can be done to control proteinuria, protect the kidneys, and stay away from uremia?

1. Control blood sugar

Glycemic levels and stability can prevent and relieve proteinuria.

Regarding sugar control, I think there is no need to say more, in addition to taking medication according to the doctor's instructions, it should also be combined with diet and exercise to control sugar, and the "five carriages" of diabetes treatment should not be missing.

Controlling this indicator well may prevent diabetic nephropathy and stay away from uremia

2. Control blood pressure

In addition to high blood sugar, high blood pressure can also induce proteinuria and worsen kidney disease. High blood pressure and proteinuria are two factors that promote each other, and if you control your blood pressure, you won't have to worry about uncontrollable proteinuria.

For diabetic patients, blood pressure should be controlled below 130/80mmHg, in addition to taking antihypertensive drugs, we should also pay attention to eating less high-salt and high-fat foods in daily life, avoid mental stress, avoid staying up late, and ensure regular work and rest.

Controlling this indicator well may prevent diabetic nephropathy and stay away from uremia

3. Regulate blood lipids

If dyslipidemia is present in a diabetic patient, it may induce cardiovascular disease, which can worsen kidney damage.

Therefore, diabetic patients should also control their blood lipids, patients with high blood lipids should take lipid-lowering drugs, in addition, they should also pay more attention to their diet, reduce the intake of saturated fatty acids, trans fatty acids and cholesterol, and at the same time strengthen exercise and control their weight.

Controlling this indicator well may prevent diabetic nephropathy and stay away from uremia

4. Scientific protein intake

Long-term intake of high-protein diet may cause proteinuria and increase the burden on the kidneys, but moderate intake of high-quality protein has a positive significance for controlling blood pressure, blood sugar, blood lipids, and stabilizing the disease. Therefore, everyone should consume protein scientifically and not waste food due to choking.

You can choose lean meat, fish and shrimp, eggs, milk, soy products and other foods rich in high-quality protein every day, but you should also control the amount and not overeat. I would like to emphasize here that soy products can be eaten! It is a good substitute for meat, and when consumed in moderation, it is very helpful for disease control.

Controlling this indicator well may prevent diabetic nephropathy and stay away from uremia