What are the common misconceptions about diabetic nephropathy?

  With the improvement of people’s living conditions and the extension of life expectancy, the incidence of diabetes and diabetic nephropathy has shown a significant upward trend. In China, the incidence of diabetic nephropathy in type 2 diabetic patients reaches about 21%, while in western countries the incidence can reach 30%-50%, which is one of the important causes of end-stage renal disease and the main cause of death and disability in diabetic patients.  Chinese medicine treatment of diabetic nephropathy, first of all, basic treatment (including control of blood sugar, treatment of hypertension, low salt, high quality and low protein diet), at the same time, with Chinese medicine diagnosis and treatment, treatment of diabetic nephropathy, the rational application of heat and dampness detoxification method, can eliminate and alleviate the evil of dampness and heat, suppress the kidney immune inflammatory response, for reducing proteinuria, promote the recovery of kidney function, control the progress of the disease have a positive effect. On the one hand, attention should be paid to the regulation of the patient’s immune function, and Chinese medicine is mainly a hungry application of tonic drugs, such as: tonic qi can use ginseng, astragalus, codonopsis, sijunzi soup, tonic zhong yi qi soup. The tonic category includes cinnamon, deer antler, cordyceps, bone marrow, cuscuta, Epimedium, Xianmao, Cistanches, and eight-bit Dihuangwan. You should also avoid the application of Chinese medicines that have nephrotoxic effects, such as guanmutong, hanfangji, spotted sting, lei gongteng, centipede, bee venom, motherwort, etc.  Myths of diabetic nephropathy Myth 1: Fear of injectable insulin Many people believe that long-term application of oral hypoglycemic drugs is convenient and has few side effects, and that the use of injectable insulin therapy will produce “addiction” and “dependence”, and they are concerned about the application of insulin and would rather The use of oral hypoglycemic drugs, fearing the use of injectable insulin. In fact, insulin is a physiological substance that normally exists in the human body, and insulin injection is to supplement the insufficient secretion of insulin in the body, and does not produce physiological and mental dependence on insulin. There is a fundamental difference with drug addiction.  Myth 2: Controlling staple foods to supplement protein Most diabetics know that controlling the intake of starchy substances within food can make blood sugar more stable. At the same time, there are folk who believe that diabetes is a disease of affluence and that not supplementing is “deficiency”, so they eat more high-protein foods to supplement. For diabetic nephropathy, this practice is counterproductive. It will aggravate and promote the development of the disease. Diabetes is mostly accompanied by abnormal blood lipids, and a high protein diet will further increase blood lipids and aggravate kidney disease. In general, the daily protein intake should be less than 0. 8G/KG body weight.  Myth 3: Judgment by kidney function alone Diabetic nephropathy can appear early with microproteinuria, followed by proteinuria. Early detection and treatment is the key to improve the efficacy of diabetic nephropathy, so regular urine-related examination is especially important.  Myth 4: Rather brace up than dialysis Many patients with more serious diabetic nephropathy reject dialysis from the bottom of their hearts and insist on conservative treatment, and have to wait until the symptoms of severe edema, heart failure, infection and other symptoms reach the end of the road before receiving renal replacement therapy. Practice has proven that timely renal replacement therapy for advanced diabetic nephropathy (CCR “15ML/MIN”) can not only shorten hospitalization time and cost, but also can and will improve the quality of survival and long-term survival rate.