Effect of diabetic nephropathy undergoing hemodialysis ?

 In patients with diabetic nephropathy of advanced extremely susceptible to serious deterioration in renal function, even patients with uremia. Although not advanced diabetic nephropathy treated by dialysis patients the best treatment method, however, long-term regular dialysis treatment in a timely manner can significantly improve the survival rates of patients.
How should of hemodialysis patients with diabetic nephropathy? When serum creatinine in patients with diabetic nephropathy when 350-440umol/L should be prepared to vascular pathway when serum creatinine of more than 600umol/L, for dialysis treatment should be initiated. On the choice of dialysis time should be earlier than non-diabetic patients.
Patients need two dialysis methods according to the conditions and specific conditions (which peritoneal dialysis and hemodialysis? ) To select it. Mainly long-term hemodialysis patients with end-stage diabetic nephropathy and ambulatory peritoneal dialysis treatment in two ways. It is understood that the vast majority of peritoneal dialysis patients with end-stage diabetic nephropathy, because it does not increase the load and stress of the heart, to better control of extracellular fluid volume and high blood pressure. Also, Intraperitoneal injection of insulin, the ease of operation cost savings, but some patients obesity due to long-term peritoneal dialysis absorb large amounts of glucose and high blood cholesterol.
Effect of diabetic nephropathy undergoing hemodialysis OK? Advanced how to choose a dialysis in diabetic nephropathy?
Hemodialysis: older, patients with more severe patients receiving dialysis treatment can, because dialysis time, regularity, then of uremic complications less if dialysis before and in the course of, better blood pressure control, attention to fluid balance, ensure rational nutrition, improved survival of patients. If long-term hemodialysis patients with diabetic nephropathy, 1-year survival rate of up to 80% per cent.
There were some problems but also in blood dialysis, such as poor vascular pathway, blood pressure fluctuations, deterioration or even blindness, and a variety of cardiovascular complications such as retinopathy.
Peritoneal dialysis: diabetic nephropathy undergoing peritoneal dialysis in 1-year survival rate for 80% a cent. Its main advantages are: ① ② high molecular substance in clearance of cardiovascular system more stable, better blood pressure control ③ avoid vascular pathway problems ④ retinopathy can be steady improvement ⑤ abdominal, cavity injection of insulin to enable better control blood glucose ⑥ peritoneal dialysis operations more convenient, the patient may deal with.
Disadvantages: ① prone abdominal infection, infection influence dialysis effect it. ② peritoneal dialysis daily protein l0g lost, should pay attention to protein intake.