Diabeticheskaya nephropathy – Diabetic glomerulosclerosis
Diabetic Nephropathy (Nephropathy, Diabetic; Diabetic Glomerulosclerosis)
What is diabetic nephropathy?
Diabeticheskaya nephropathy – This kidney disease, which occurs in the presence of diabetes. The kidneys perform several important functions:
- Blood filter;
- Picks for the functioning of the body connection, and return them back;
- Synthesized urine, Allows you to display the body of excess water and chemicals.
Diabetes can damage the kidneys. In some cases this can lead to renal failure.
Causes of diabetic nephropathy
Blood is pumped through small filters in the kidneys. Changes in the blood vessels due to diabetes can cause damage, since the blood sugar level can be the highest concentration in these filters.
Over time, the degree of damage increases filters. Damaged filters can not clean the blood properly and protein from the blood can get into the urine. If left untreated diabetic nephropathy, This may lead to renal failure.
Risk factors for diabetic nephropathy
Factors, which may increase the likelihood of the presence of diabetic nephropathy include diabetes type 1 and diabetes of type 2, and:
- Poor control of blood glucose levels;
- High blood pressure (It creates an additional burden on the kidneys and increases the risk of kidney damage);
- High cholesterol.
Diabeticheskaya nephropathy – symptoms
Symptoms may not appear until, until kidney damage will not be very serious. Tell your doctor, if you have any of the symptoms:
- Accumulation of fluid, which may manifest as swelling in the feet or hands;
- Weakness;
- Loss of appetite;
- Sleeping problems;
- Confusion and trouble concentrating.
These symptoms, except kidney problems may be caused by other diseases. If you experience any of them, should see a doctor.
Diagnosis of diabetic nephropathy
The doctor will ask about your symptoms and medical history, and perform a physical examination. Tests may include the following:
- Blood tests and checking renal function;
- Urine, to determine the presence of protein in urine.
Diabeticheskaya nephropathy – treatment
Treatment is directed at preventing or slowing further kidney damage. This can lead to lifestyle changes and medication. Your doctor will work with you, to learn how to control your blood sugar and blood pressure. This may help prevent further damage to the kidneys.
Lifestyle changes in diabetic nephropathy
Lifestyle Changes, to help control blood sugar and blood pressure include:
- It is necessary to lose weight, if you are overweight;
- To exercise;
- Eat less salt;
- We need to quit smoking;
- Avoid alcohol consumption;
- Follow your doctor's recommendations for treatment of diabetes.
Diabeticheskaya nephropathy – medication
Your doctor may prescribe medication, to help control blood sugar levels. To help control blood pressure and protect the kidneys, your doctor may prescribe:
- Angiotensin-converting enzyme (ACE inhibitors);
- Angiotensin receptor blockers (ARB).
Treatment of renal failure
If kidney damage progresses to kidney failure, It may require dialysis – blood purification using a special apparatus, it is removed from the waste.
If kidney failure progresses, may eventually need a kidney transplant.
Diabeticheskaya nephropathy – prevention
To reduce the risk of diabetic nephropathy:
- See your doctor regularly. During tests will be measured blood pressure, Analysis of urine, blood, check internal organs for changes;
- Monitor your blood sugar levels. Follow your doctor for the treatment of diabetes;
- Talk to your doctor, how to maintain normal blood pressure (about 130/80 mmHg.);
- To exercise;
- Quit smoking.