Chronic kidney disease patients need “three controls”

  Chronic kidney disease is a chronic non-communicable disease, the incidence of which has been increasing year by year at home and abroad, and the prevalence rate in China is 10.8%. When patients with chronic kidney disease progress to uremia, there is no effective clinical treatment, only through dialysis and kidney transplantation treatment to maintain life, and cause a huge burden to the patient’s family and society. Patients with chronic kidney disease need to control blood pressure, blood sugar and diet, and do a good job of the “three controls” to stay away from the “uremic syndrome”.  Hypertension is an independent risk factor for disease progression Hypertension is one of the causes of chronic kidney disease, which can lead to hypertensive nephropathy; at the same time, various primary kidney diseases can cause hypertension. The two interact with each other to accelerate the disease progression of patients. Therefore, blood pressure control is particularly important for patients with chronic kidney disease. Blood pressure in patients with chronic kidney disease should be controlled below 140/90 mmHg, and the blood pressure target can be relaxed in elderly patients.  ACE inhibitors or angiotensin II receptor antagonists are preferred in patients with chronic kidney disease and should be discontinued only when the patient has declining renal function or contraindications. At the same time, physicians will give individualized treatment plans by combining antihypertensive drugs as appropriate for different patients according to their specific conditions. Patients with chronic kidney disease need to follow medical advice when taking medication, not to stop and change medication at will, and regularly self-measure blood pressure and review liver and kidney function to cooperate with doctors to more effectively control blood pressure within the normal range.  Control of blood sugar can effectively delay the progress of the disease Patients with chronic kidney disease will accelerate the progress of the disease if they cannot control blood sugar effectively. So how should CKD patients control blood sugar. Firstly, they should do regular outpatient follow-up, take medication as prescribed, and strictly control blood glucose, with fasting <6.1mmol/L, postprandial <8.0mmol/L, and glycated hemoglobin (HbAlc) not exceeding 7%. Secondly, long-term regular exercise is needed, which can improve insulin sensitivity and glucose tolerance. Patients should choose non-competitive exercise programs, especially those that utilize to leg muscles, low-intensity walking, jogging, qigong, tai chi, ballroom dancing, radio exercises, yoga, etc.  Reasonable diet can better control blood pressure and blood sugar The diet of patients with chronic kidney disease should be: less salt, protein, sugar in moderation, low fat, to ensure adequate energy these five points. Pay attention to the diet should not taste heavy, seasoning more onion and ginger garlic; party dining more vegetables, appropriate choice of chicken and fish meat; simple food enrichment, balanced nutrition every day.  A reasonable diet, control blood pressure and blood sugar, for patients with chronic kidney disease is beneficial, I believe that chronic kidney disease patients to do the above three points, you can effectively improve the quality of life and slow down the progress of the disease.