Tuesday, June 4, 2013

Diabetic Nephropathy Management

Diabetic Nephropathy is a complicated which is caused by polygenic inheritance, disorder of internal secretion, deficiency of islet cells and its receptor. In this case, the basilar of vessels and epithelial cells are damaged.
If patients are diagnosed with type 2 diabetes, it indicates that there is insulin resistance in the body, which can be divided into three kinds.
1. Resistance before insulin receptor
It means that the structure of islet cells is abnormal. The insulin secreted out has abnormal structure. The insulin receptor does not accept.
2. insulin receptor resistance
Insulin receptor resistance is not sensitive to the stimulation of insulin.
3. resistance after insulin receptor
Resistance after insulin receptor means that the cells can not make full use of insulin.
The reason why diabetic nephropathy develops at a rapid speed is as follows:
1. Check whether we follow the diet principle.
2. Check whether we control FBG under 6.1mmol/L and control blood sugar 2 hours after the meal under 7.8mmol/L. Check whether we control blood pressure under 130/80mmHg and whether we control the blood fat in a stable condition.
The principle for diabetic nephropathy treatment
1. Choose medicine which can not only block the insulin resistance but also repair the gene leading to insulin resistance. The medicine should be the combination of both Chinese medicine and western medicine.
2. Deal with the complications of diabetic nephropathy.

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