Wednesday 4 July 2012

Complication of Diabetic nephropathy


Diabetic nephropathy in diabetes the most common complication of diabetes patients with poor glycemic control, leading to kidney damage caused by diabetic nephropathy. Diabetic nephropathy will lead to other diseases, the occurrence of the complications of diabetic nephropathy. The incidence of diabetic nephropathy with the prolonged duration of diabetes increased. Early renal volume increases, the increase in glomerular filtration rate was high filtration state, after the gradual emergence of the gap proteinuria or microalbuminuria, as the extension of the course persistent proteinuria, edema, hypertension, renal ball filtration rate, and thus renal insufficiency, uremia, diabetes one of the leading causes of death.
China currently has about more than 2000 million people with diabetes, and there is a rising trend of nearly 20 million of the otherwise impaired glucose tolerance, diabetes has become an important public health problem in China. The long-term symptoms of high blood sugar in diabetic patients with lack of effective control is secondary to renal damage, leading to diabetic nephropathy.
Diabetic nephropathy are complications? Diabetic nephropathy (DN) is a common clinical and multiple complications of diabetes. In other words, diabetic nephropathy is the most serious diabetes complications, and is the main reason of the ESRD. Diabetic nephropathy is the major diabetic microvascular complications, mainly referring to diabetic glomerulosclerosis, and glomerular lesions in a blood vessel damage. Early asymptomatic, can be normal or high blood pressure.
Diabetic nephropathy is the most serious complications of diabetes, diabetic nephropathy What are the complications? We look through the diagnosis of diabetic nephropathy:
① a history of diabetes;
The ② except other causes of intermittent or persistent clinical proteinuria (urinary protein), this is the key to the diagnosis of clinical DN;
(3) may be associated with renal insufficiency;
(4) associated with retinopathy, this is a strong evidence;
⑤ with biopsy-proven, generally only when the diagnosis is indeed in doubt Fang Yi.