There is no optimal treatment for diabetic nephropathy. Diabetic nephropathy is mainly treated by general treatment, medication, renal replacement therapy, etc. to control blood glucose, blood pressure, proteinuria, etc., and to slow down the progress of the disease.
1. General treatment: obese patients should control the total calorie intake, exercise appropriately and control their weight. Choose high quality protein, such as fish, shrimp, etc. For patients with hyperkalemia, potassium intake should be restricted. Patients with hyperkalemia should limit potassium intake. They should also limit salt intake, quit smoking and limit alcohol.
2. Medication: Acarbose, pioglitazone and insulin can be chosen to control blood sugar when renal function is impaired, and at the same time, captopril and cloxartan can be combined to control blood pressure, which can help reduce proteinuria. You can choose atorvastatin and other drugs to correct lipid metabolism.
3. Renal replacement therapy: If the glomerular filtration rate is severely impaired, less than 15ml/min, or when there is severe heart failure, hyperkalemia, severe metabolic acidosis, etc., renal replacement therapy, such as hemodialysis, peritoneal dialysis, etc., can be considered.
The above drugs need to be used in accordance with the doctor’s instructions, when diagnosed with diabetic nephropathy, it is recommended to go to a regular hospital in time, follow the doctor’s instructions to standardize the treatment, do not self-medication.