For some renal patients, they may have various complications after kidney transplant. What should we do in case of abnormal blood sugar? Read on to learn more information.
The treatment of abnormal blood sugar after kidney transplantation is similar to that of ordinary patients, but there are also differences.
The similarity is that:
You can take conservative treatment firstly, including diet control, weight loss and exercise, which can improve blood sugar. Many mild abnormal blood sugar can be improved in this way.
For some patients with high blood sugar, hypoglycemic drugs can be used, and in severe case insulin should be used.
The use of hypoglycemic drugs should be determined according to the function of the transplanted kidney. If the transplanted kidney has failed, it is necessary to avoid using hypoglycemic drugs that are completely metabolized by the kidney, which is prone to hypoglycemia and other side effects. For those with severe renal allograft dysfunction, insulin should be used to control blood sugar.
The difference from the common patients is that:
After kidney transplantation, patients can adjust blood sugar by switching the immunosuppressive regimen.
If patients taking tacrolimus have high blood sugar, when there is no contraindication, they can switch to cyclosporine or sirolimus. However, this switch is risky and needs to be carried out under the guidance of the transplantation doctor. And immunosuppressive agents can not be switched without authorization, because it will bring the risk of rejection. Some patients can get better results through this switch.
In a word, abnormal blood sugar after kidney transplantation is a common complication, which should be paid more attention to by patients. If there is diabetes history in families, the purpose of prevention can be achieved through diet control and exercise. For high-risk patients, prednisone can be reduced early or discontinued to reduce the risk, or the risk can be reduced by switching immunosuppressive agents to reduce the risk of kidney transplantation. Abnormal blood sugar occurs after operation. However, all of these need to be carried out under the guidance of transplantation doctors. Drug reduction and dressing change should not be carried out blindly. For more information on kidney transplant, please leave a message below or contact online doctor.
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