Lowering of renal glucose threshold leading to positive urine glucose is common in chronic nephritis, nephrotic syndrome, pregnant women, etc. Standardized treatment should be carried out according to the specific causes, such as chronic nephritis patients can be given drugs such as cloxartan to lower urinary protein and slow down the progress of the disease; patients with nephrotic syndrome can be given prednisone acetate, tacrolimus, etc.; pregnant women patients, regular observation is required to monitor the changes in blood glucose.
1. Chronic nephritis: Chronic nephritis symptoms vary in severity, with hematuria, proteinuria, edema and hypertension as the basic symptoms. In this disease, the renal tubules are damaged resulting in lower glucose recuperation and the appearance of urinary glucose. Patients with this disease are recommended to have high quality and low protein diet; appropriate supplementation of essential amino acids; oral medication such as chlorthalidomide and benadryl to control hypertension, reduce proteinuria and slow down the progress of the disease.
2. Nephrotic syndrome: Nephrotic syndrome is a clinical syndrome characterized by massive proteinuria, hypoalbuminemia, edema and hyperlipidemia. Patients with this disease should pay attention to rest, limit water and salt intake; take furosemide, hydrochlorothiazide and other diuretics to reduce edema; oral prednisone and other glucocorticoids or cyclophosphamide, cyclosporine and other immunosuppressants for the treatment of the cause.
3. Pregnant women: the renal glucose threshold is reduced during pregnancy, and there will be transient urine sugar, but the blood glucose level is normal. This phenomenon is temporary, need to monitor blood glucose changes, no special treatment.
Positive urine glucose is recommended to go to a regular hospital, complete the relevant examinations to clarify the cause of the disease, and early appropriate treatment to avoid delaying the condition. The above medication should be used in accordance with the doctor’s instructions, and should not be used without authorization, so as not to aggravate the condition.