DIABETIC NEPHROPATHY: How is the treatment and prevention?

Treatment of Diabetic Nephropathy

The first step in treating diabetic nephropathy is treating diabetes and, if necessary, treatment of high blood pressure (hypertension). With your good blood sugar and hypertension management, you can prevent or delay renal dysfunction and other complications.

Drugs Diabetic Nephropathy

In the early stages of the disease, medication may be needed to:

• Control of high blood pressure. Drugs called angiotensin converting enzyme inhibitors (ACE) and angiotensin II receptor blockers (ARBs) are used to treat high blood pressure. Use of both drugs is not recommended because of the side effects that will arise. The results showed that blood pressure target was 140/90 millimeter mercury (mm Hg) or less.

• Management of blood sugar levels. Some medications have been shown to help control high blood sugar in people with diabetic nephropathy. The average target of hemoglobin A1C (HbA1C) is less than 7 percent.

• Lower high cholesterol. Cholesterol-lowering drugs called statins are used to treat high cholesterol and reduce protein in the urine.

• Improve bone health. Medications that help manage your calcium phosphate balance are important in maintaining bone health.

• Control of protein in urine. Drugs can often reduce the levels of protein albumin in the urine and improve kidney function.

Your doctor will recommend regular follow-up tests to see if your kidney disease remains stable or continues.

Treatment for advanced Diabetic Nephropathy disease

If your illness progresses to kidney failure (end-stage renal disease), your doctor will help you switch to a treatment focused on replacing your kidney function, with options including:

• Kidney dialysis This treatment is a way to get rid of toxic substances and dirt, and extra fluid from your blood. The two main types of dialysis are hemodialysis and peritoneal dialysis. The first method is more common and requires that you visit a dialysis center and connect to an artificial kidney machine about three times a week. Each session takes three to five hours. The second method can be done at home, but it requires compliance and discipline in the patient.

• Transplantation. In some situations, the best option is kidney transplant or kidney-pancreatic transplant. If you and your doctor decide on a transplant, you will be evaluated to determine if you are eligible for this surgery.

• Symptom management. If you choose not to have dialysis or kidney transplantation, your life expectancy is usually only a few months. You may receive treatment to help you stay comfortable.

Potential treatment of future Diabetic Nephropathy

In the future, people with diabetes nephropathy can benefit from the treatment being developed by using regenerative medicine. This technique can help restore or slow down kidney damage due to this disease. For example, some researchers think that if a person's diabetes can be cured with future treatment such as pancreatic pancreatic cell transplantation or stem cell therapy, then renal function may improve.

In addition, studies on stem cells and some new drugs for Diabetic Nephropathy are being developed.

 Lifestyle and treatment of Diabetic Nephropathy at home

• Lifestyle behavior can support treatment. Active in physical activity every day of the week, with at least 30 minutes of physical activity every day of the week.

• Adjust your diet. Talk with a dietitian about limiting salt intake, choosing foods that have lower potassium levels and limit the amount of protein you eat.

•          Quit smoking. If you are a smoker, talk to your doctor about strategies to quit smoking.

• Maintain a healthy weight. If you need to lose weight, talk to your doctor about weight loss strategies. Often this involves an increase in daily physical activity and reduced calories.

• Take aspirin every day. Talk to your doctor about whether low-dose aspirin every day is useful to you.

Support Against Diabetic Nephropathy Patients

If you are susceptible to diabetic nephropathy, here are some steps that may help you to overcome it:

• Connect with others who have diabetes and kidney disease. Ask your doctor about support groups in your area

• Maintain your normal routine, whenever possible. Try to keep the normal routine, do the activities you enjoy and continue to work, if conditions are possible. This can help you cope with the sadness or loss you may experience after a diagnosis of the disease.

• Talk to someone you trust. Living with diabetic kidney disease can create stress, and by telling stories, can help your feelings. You may have friends or family members who are good listeners. Or you may find it helpful to talk to a faith leader or someone you trust. Consider asking a doctor's referral to a social worker or counselor.

Prevention of Diabetic Nephropathy

To reduce the risk of kidney disease diabetes:

• Control diabetes. With effective diabetes treatment, you can prevent or delay diabetic kidney disease.

• Control of high blood pressure or other medical conditions. If you have high blood pressure or other conditions that increase your risk of kidney disease, go to your doctor. Ask your doctor about the examination to look for signs of kidney damage.

• Follow the instructions on over-the-counter medications. For people with diabetic kidney disease, taking this type of painkiller can cause kidney damage.

• Maintain a healthy weight. If you have a healthy weight, try to keep it physically active every day of the week. If you need to lose weight, talk to your doctor about weight loss strategies. Often this involves an increase in daily physical activity and reduced calories.

• Avoid smoking. Smoking can damage your kidneys and make your kidney damage worse. If you are a smoker, talk to your doctor about smoking cessation strategies. Counseling and treatment can help you quit smoking.