Diabetic Nephropathy: Treatment

In case of a disease, diabetic nephropathy treatment should help prevent or slow down kidney damage, lower blood pressure. Physical activity is necessary, prevention of heart disease - it is known that diabetes mellitus doubles the risk of death from heart diseases and diseases of blood vessels. You should strictly control the amount of salt consumed - reducing salt will help to avoid high blood pressure.

The intake of protein should not be more than ten percent of the total daily intake, as more of it damages the kidneys. If the patient is difficult to determine the diets themselves, it is recommended to consult a dietician. When diabetic nephropathy is not allowed to smoke or use other products with tobacco content!

Initial treatment of diabetic nephropathy

Today, there is a large selection of medications for the treatment of this disease. According to the results of tests and tests performed, the doctor will prescribe a treatment for a sick person with nephropathy, and, if necessary, change medicines, diet, exercise.

Drugs used to treat diabetic nephropathy are used to control blood pressure. If there is a small amount of protein in the urine, these drugs will reverse the process of kidney damage.

Medication can be:

1. Captopril, ramipril, lisinopril and enalapril. These medications reduce the loss with urine protein. They also reduce the risk of developing heart and blood vessel diseases.
2. Candesartan, losartan, irbesaratan and telmisartan. The doctor can prescribe these and the above drugs. Their combination will provide greater protection to the kidneys, rather than each of them separately.

With high blood pressure, you may need to take 2 or more drugs to lower your blood pressure, which would not harm the kidneys. It is important to monitor the level of sugar in the blood. This will prevent damage to the blood vessels of the kidneys.

Supportive treatment of

It is important to remember that it is always possible to slow the progression of kidney damage, even with the diagnosis of diabetic nephropathy. Reduce the risk of the disease can be a lifestyle change: it is recommended to eat foods that are low in fat, quit smoking, regularly perform prescribed doctor physical exercises.

With the progression of the disease, blood pressure rises. This leads to the need to use additional drugs to control it. The doctor may recommend taking the following drugs to lower blood pressure. It may even be necessary to take combinations of these agents for better control of pressure. Reducing blood pressure, you can reduce the risk of kidney damage.

These medicines are:

1. Angiotensin converting enzyme inhibitors, angiotensin II receptor blockers. The combination of these drugs will provide greater protection for the kidneys, rather than each of them separately.
2. Diltiazem( Diacordin), amlodipine( Stamlo, Norvasc, Amlo), verapamil( Lekoptin, Isoptin), nifedipine( Adalat, Corinfar).The use of calcium channel blockers will help reduce blood pressure.
3. Diuretics - chlorthalidone, spironolactone and hydrochlorothiazides help to lower blood pressure by removing sodium and water from the body.
4. Beta-blockers - atenolol, metoprolol, carvedilol also help to lower blood pressure by slowing the heart rate and reducing the amount of blood thrown out at each stroke.

If the condition of

worsens, if the blood vessels of the kidneys continue to be damaged, kidney failure develops, so that the patient survives, dialysis treatment is necessary( renal replacement therapy) - artificial kidney filtration or kidney transplantation.