Renal complications in diabetes mellitus, to improve the lifestyle; drug therapy including insulin and other glucose-lowering drugs, captopril, chlorosartan to lower blood pressure, lower urinary protein; uremia stage to dialysis treatment.
1. Lifestyle intervention: avoid high protein diet, strictly control the daily intake of protein, too much protein supplementation will increase the burden on the kidneys and lead to the production of many nitrogenous wastes. Patients with diabetic nephropathy with elevated blood creatinine should minimize the intake of vegetable protein, and generally soy products contain more vegetable protein and should not be consumed.
In addition, those with edema, renal failure, heart failure should limit water intake and choose low-salt, low-fat and low-sugar diet.
2. Drug therapy: to control blood sugar, some hypoglycemic drugs can not be used when the glomerular filtration rate is low, and insulin hypoglycemic therapy should be applied when necessary; to control the blood pressure and lower urinary protein, and give priority to choose captopril, chlorthalidomide, and other antihypertensive drugs for rational control of blood pressure.
3. Dialysis treatment: Dialysis includes hemodialysis and peritoneal dialysis, which is used when the glomerular filtration rate is lower than 15 ml/min and there are serious heart failure, serious hyperkalemia, metabolic acidosis difficult to correct.
Renal complications of diabetes mellitus should go to hospital and be treated under doctor’s guidance.