How to treat diabetic nephropathy?

1. Strict control of blood glucose: Early diabetes with insulin or multiple subcutaneous insulin strict control of diabetes, maintain a normal blood sugar, can delay or even prevent the development and progression of diabetic nephropathy and reduce the increased glomerular filtration rate and improve trace albuminuria.

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2. Control of hypertension: high blood pressure in patients with renal failure will promote the development of effective antihypertensive treatment may slow the rate of decline in glomerular filtration rate, reduce urinary albumin excretion. Angiotensin-converting enzyme inhibitors or angiotensin Ⅱ receptor antagonist can be used as the drug of choice, and often need combined with other antihypertensive drugs. Other antihypertensive drugs such as calcium channel blockers, diuretics, β-blockers, methyldopa, clonidine and the like. Diabetic patients blood pressure should be controlled at 130 / 80mmHg or less.
3. Restrict protein intake: appropriate reduction in the amount of protein in the diet can reduce glomerular pressure, reduce high filtration and reduce proteinuria. Patients given high-protein diet will increase the glomerular histological lesions, renal insufficiency has more protein intake should be limited and should be consumed high protein containing essential amino acids.
4. dialysis and kidney transplantation: the only effective way to diabetic nephropathy Once renal failure, dialysis and kidney transplantation Yes.