As the This month's issue of . The following is a message to the full text. This article is written some professional, because doctors, especially primary care doctors to see, but I believe there will be some patients reading this harvest. by the way, Issue editor of the attach great importance to all medical staff. This is because diabetic patients with diabetic nephropathy is the major cause of death of disability in the diabetic population, about one-fifth of patients have renal disease (including microalbuminuria). inpatient diabetes patients, about one third of the combined renal disease. In developed countries, diabetic patients receiving dialysis has become the first cause. For example, in dialysis patients, about half of the patients were diabetic. nephropathy, particularly dependent on peritoneal or hemodialysis, kidney transplantation in patients with life-sustaining medical costs are very expensive, for example, the annual cost of dialysis is about 10 million.
diabetic nephropathy is preventable and treatable chronic complications of diabetes. improve the prognosis of patients with diabetic nephropathy the most important measure is early detection of early treatment of renal disease. Although, in theory, divided into five diabetic nephropathy, glomerular hypertrophy and increased glomerular filtration rate is the earliest manifestations of diabetic nephropathy, but In fact, almost none of the patients underwent renal biopsy, the diagnosis by pathological examination of diabetic nephropathy. Currently, the accepted indicator of early diagnosis of diabetic nephropathy is microalbuminuria. as soon as possible to find positive microalbuminuria and blood pressure, lower sugar, lipid and low protein diet can slow or even reverse the progress of diabetic nephropathy, thus improving the prognosis of diabetic nephropathy .30 years ago, had experts believe that if a large number of clinical proteinuria, often means that the patients live less than 5 years. scientific progress has enabled us to see that many patients with clinical proteinuria, even in patients receiving dialysis treatment, survival beyond 5 years, 10 years or even longer, some patients live to longevity. We have reason to I believe, with the diagnostic criteria for diabetes treatment changes and increased awareness of comprehensive compliance and take early diabetic nephropathy patients for more aggressive treatment of diabetic nephropathy patients enjoy a normal life is not a dream.
recent years, diabetic nephropathy diagnosis and treatment of significant progress has been made, the prognosis has improved considerably. diagnosis and treatment of diabetic nephropathy, with particular emphasis on albuminuria screening carried out first to the early detection of diabetic nephropathy. Normally, if a sustained and intermittent proteinuria and excluding other causes may be kidney damage, to consider the diagnosis of diabetic nephropathy. If the patient has fundus and other complications of diabetes, can be confirmed. The second is early intervention. diabetic nephropathy treatment must is a comprehensive treatment and comprehensive treatment compliance. This includes the dietary treatment, blood glucose and blood pressure control and lipid treatment. In clinical proteinuria has emerged in patients with diabetic nephropathy, blood pressure control is essential. Third, the already into renal failure in diabetic patients as soon as possible to carry out dialysis. In principle, the diabetic patients with renal failure in patients starting dialysis serum creatinine levels lower than non-diabetic patients with renal failure. Similarly, diabetic nephropathy achievement level of blood pressure control in patients without nephropathy also lower than the diabetic patients with hypertension and patients with simple hypertension. diabetes specialist cooperation is essential and kidney specialists.
view of this, in order to raise awareness of diabetic nephropathy knowledge and understanding of domestic and international progress in diagnosis and treatment of diabetic nephropathy, this issue of the mechanisms and treatment of diabetic nephropathy, including diet, blood pressure, blood sugar control, lowering therapy, dialysis, application of insulin during the treatment, diagnosis and treatment of hyperkalemia. these articles is to combine the common features of the pathogenesis of diabetic nephropathy and sub- of features, focusing on clinical applications, the paper readable, workable, especially for grassroots medical workers to read and reference in the clinical work. As editor, I see it faster, benefit, honor the magazine's editors and authors gratitude and respect, and earnestly recommended to read current publications related to medical staff.
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