Prognosis of diabetic nephropathy stage III

The prognosis of patients with stage III diabetic nephropathy cannot be generalized; some patients are stable for a long time, but some patients have progressive progression.
Stage III diabetic nephropathy is defined as a significant increase in proteinuria (urinary albumin excretion rate >200mg/24h, proteinuria >0.5g/24h), there may be mild hypertension, glomerular filtration function has declined, but blood creatinine is generally normal.
1. If patients with stage III diabetic nephropathy actively control blood glucose and blood pressure, closely monitor and regularly diagnose and treat, patients’ renal function may be maintained stable for a long time, and not progress to uremia.
2. If patients with stage 3 diabetic nephropathy do not actively adjust their lifestyle and follow up regularly, the urine protein will increase gradually, the glomerular filtration rate will decrease gradually, and the disease will progress, and the disease may progress to uremia in a few years, which requires hemodialysis, peritoneal dialysis or kidney transplantation.
The prognosis of patients with stage III diabetic nephropathy is more related to whether they are combined with other comorbidities, whether they have regular treatment, and whether they respond to the treatment. Therefore, patients must consult the doctor as soon as possible, have regular review and follow the doctor’s instructions for standardized treatment.