Diabetic nephropathy stage 4 creatinine as high as 230μmol/L is generally more serious, has exceeded the normal creatinine value, belongs to the more serious type of diabetic nephropathy, at this time has reached the stage 5 diabetic nephropathy stage, with the progress of the disease, the renal function can be continued to decline until end-stage renal disease.
Normal creatinine reference range: 53～106uμmol/L for male, 44～97μmol/L for female, different reference value in different hospitals, please follow the reference standard of local hospital.
Diabetic nephropathy stage 4 belongs to the period of massive proteinuria, if creatinine increases, it means that it has entered diabetic nephropathy stage 5, at this time, creatinine is as high as 230 μmol/L, which is far beyond the normal value, and if you don’t carry out active and effective treatment, it is easy to lead to the continuous decrease of renal function until uremia stage.
At this time, it is necessary to strictly control blood glucose under the guidance of doctors, and can use Repaglinide, Liglitazide or insulin (such as Menthol Insulin, Glycine Insulin, etc.), correct acidosis (such as sodium bicarbonate), correct anemia (such as Roxarestat), and correct calcium-phosphorus disorders (such as Calcium Acetate, Lanthanum Carbonate), and so on. Renal replacement therapy is needed to improve symptoms if necessary.
Patients with diabetic nephropathy are recommended to visit regular regular hospitals to improve relevant examinations, evaluate renal function, and carry out relevant treatments in time to slow down the progression of renal disease.