Diabetic nephropathy with high blood creatinine can be treated by diet regulation, medication, dialysis and kidney transplantation.
1. Dietary regulation: patients with diabetic nephropathy and high creatinine should keep low salt and low fat diet, meanwhile, they need to limit protein intake and give priority to consume moderate amount of high quality protein, such as eggs, milk and so on.
2. Medication: Acarbose, insulin and other hypoglycemic drugs can be used to control blood glucose, to avoid further damage to the kidneys due to hyperglycemia; in addition, valsartan, dagliflozin and other drugs can be taken orally under the guidance of nephrologists to lower blood pressure and sugar while achieving the purpose of lowering urinary protein, but note that patients with renal insufficiency are advised to be cautious in using them. Oral Chinese patent medicines such as renal failure, urethane, etc. can also be taken.
3. Dialysis and renal transplantation: Dialysis and renal transplantation can be used to reduce the blood creatinine according to the conditions of patients with severe increase of blood creatinine, accompanied by severe reduction of filtration rate, or accompanied by severe heart failure and severe gastrointestinal symptoms.
If the blood creatinine of patients with diabetic nephropathy is persistently high, they should go to regular hospitals in time to avoid further aggravation of the condition. The above medication should be used in accordance with the doctor’s prescription, and should not be used without authorization, so as not to aggravate the condition.