What kind of dialysis therapy is suitable for advanced diabetic nephropathy? Dear nephropathy patients, good afternoon, I am Dr. Tan Feng, Nephrology Department of Shaanxi Fourth People’s Hospital, recently there are many diabetic patients in the consultation area to consult about diabetes, in fact, in the previous “today’s disease” has done a detailed introduction, I do not know whether you have a good reading, but also do not know whether there is a certain amount of help for you. I don’t know if you have read it properly, and I don’t know if it will help you in some way, but if you haven’t paid attention to it, you can take a serious look at it, which is aimed at the mechanism of diabetes, as well as the consultation methods, and preventive measures, and I hope that there will be an answer to your questions. With the progress of diabetic nephropathy, the filtration function of the kidney is gradually declining, which can lead to a series of serious complications such as severe azotemia, hypertension, edema, hyperkalemia, acidosis, etc. In terms of treatment, although the most ideal method is pancreas and kidney transplantation, most patients can only use dialysis therapy to prolong their lives. The choice of dialysis therapy is based on the specific situation of the patient. In general, the majority of patients with end-stage diabetic nephropathy should be on continuous ambulatory peritoneal dialysis, especially when the endogenous creatinine clearance rate is 10-15 ml/min, which is more appropriate. It can also be used in patients with combined hypertension and cardiovascular disease because continuous ambulatory peritoneal dialysis therapy does not increase cardiac load and can better control hypertensive symptoms. Furthermore, this dialysis therapy can also control blood sugar through intraperitoneal insulin injection, avoiding the pain of subcutaneous injection, and is simple and convenient to operate, unlike hemodialysis, which requires complicated machines, and the treatment cost is also less expensive, so continuous ambulatory peritoneal dialysis therapy is more widely used clinically. However, the glucose in the dialysis fluid can be partially absorbed during peritoneal dialysis, and some patients may suffer from hyperlipidemia and obesity due to excessive glucose absorption during long-term peritoneal dialysis. It should be noted that the incidence of peritonitis during peritoneal dialysis is relatively high, and special attention should be paid to strict operating procedures and sterilization procedures for peritoneal dialysis. Do you understand now? I hope that you are really understand their own condition under the premise of treatment, remember not to blindly carry out treatment, is the medicine three points poison, many times drugs are very irritating to the human body, actively cooperate with the doctor’s treatment plan, wish you good health!