According to research, 20%~40% of diabetic patients will enter the stage of Diabetic Nephropathy, and Diabetic Nephropathy is a common cause of renal failure, accounting for about 10% of uremia. Thirty percent of Diabetic Nephropathy patients are directly identified as diabetic uremia.
Diabetes develops into renal failure in 5 stages:
Stage 1: Normal kidney function
As a type 2 diabetic, you may have been with diabetes for years.
Option 1: if you have poor coordination with professional doctors, remaining years from diabetes uremia: 10 - 15 years.
Option 2: adhere to active treatment, the remaining years from diabetes uremia: 30 - 40 years. Active treatment includes: stopping smoking and restricting alcohol, learning knowledge of diabetes prevention and treatment, regular examination every year (such as urine routine, creatinine, urinary albumin), timely detection of complications, good control of blood pressure, blood glucose, blood lipids, blood viscosity, weight, etc., and determination or adjustment of treatment plan according to the condition.
Examination results: the kidneys are intact, no proteinuria, and the renal volume is increased.
Stage 2: Intermittent microalbuminuria
In this stage, you may have been with diabetes for 5-10 years without any treatment. Or you may have received regular treatment for 10-20 years. If you are in
Diabetic Nephropathy stage 1: high glomerular filtration, increased renal volume.
Diabetic Nephropathy stage 2: intermittent microalbuminuria
Option 1: Without timely and effective treatment, diabetes uremia is only 10 years away from you.
Option 2: Adhere to active treatment, remaining years from diabetes uremia: 30 - 40 years. Active treatment includes: regular examination of blood creatinine, urine protein, renal color doppler ultrasound every year to understand the changes in the disease. Timely control of urinary protein and blood pressure to avoid parenchymal damage to renal function.
Examination results: renal function intact, and no parenchymal damage to the kidneys
Stage 1 and 2 are great opportunities to avoid uremia for diabetics.
Stage 3: Early stage of Diabetic Nephropathy
In this stage, renal function has been substantially impaired and various complications have begun to appear.
Without active treatment, diabetes uremia is only 5 years away.
There are three things to do at this stage:
1. Good control of proteinuria, blood pressure and blood sugar;
2. Prevent the occurrence of kidney damage factors such as hydronephrosis, infection, hyperuricemia, and taking nephrotoxic drugs.
3. For some possible complications, such as edema, anemia, electrolyte disorders, we should insist on active treatment.
Stage 4: Clinical Diabetic Nephropathy
In this stage, kidney damage is over 70%. Kidney function progresses quickly. And kidney damage is irreversible. Without caution for some factors, it will develop to uremia directly, such as infection, injury, medications, etc.
Remaining years from diabetes uremia: 1 - 2 years. With active treatment, you can slow down the progression.
Stage 5: Kidney failure stage
In this stage, renal function has been completely decompensated, creatinine, uric acid, urea nitrogen, endogenous creatinine clearance rate and so on will increase, and toxin concentration in the blood will go up.
Therefore, a combination of Chinese and western medicine should be used to focus treatment on removing toxins from the body.
As long as we are still in the first two stages, active treatment can cure the disease. Hope more people can pay attention to their own health, and not give any opportunity to disease!
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- Tag: Diabetic Nephropathy Diabetic Nephropathy Prognosis
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