Chronic hyperglycemia will bring systemic multiple system complications, including cardiovascular and cerebrovascular diseases, diabetic nephropathy (hereinafter referred to as glycogen), diabetic retinopathy (hereinafter referred to as sugar network) and so on. Which is an important complication of diabetes mellitus, according to the survey, China's type 2 diabetes patients with chronic kidney disease ratio can be as high as 64%. Glucose is a common cause of renal failure, but in the early stages of strict control of blood sugar and comprehensive intervention to prevent or delay the development of sugar and kidney. Glucose kidney has the following four early signals for sugar friends reference.
Urinary foam increased - microalbuminuria, early signs of renal injury. For early glycogen, it is recommended to detect urine albumin / creatinine ratio, which is currently recognized as the most effective screening method for urinary albumin. Patients need to be fasting the first morning urine samples collected. Avoid urinary protein testing in strenuous exercise, infection, fever, pregnancy, heart failure, hyperglycemia or blood pressure, urinary tract infection and other conditions. With the increase in urinary protein, the patient may appear increased urine foam, eyelid and lower extremity edema and other symptoms, this time should be promptly to the hospital urine test. In addition, for asymptomatic diabetic patients, should also be a year of urine protein screening test, in order to achieve early detection, early treatment purposes.
Blurred vision - diabetic retinopathy. Sugar network, sugar and kidney are diabetic small blood vessels complications, both highly related, the majority of patients with sugar and kidney also suffer from sugar network. Therefore, if found sugar network, need to guard against the possibility of sugar. Such as blurred vision, should be early treatment of ophthalmology, line ophthalmoscopy.
Elevated serum creatinine - abnormal renal function. Part of the diabetic patients with anuria abnormal albumin, the renal damage showed renal dysfunction. The use of serum creatinine estimated glomerular filtration rate e-GFR is the best way to assess renal function.
Nocturia increased - renal tubular injury. In recent years, the study found that renal tubular injury can occur in the early stage of glycogen, can be expressed as nocturia increased urine specific gravity decreased. By examining renal tubular function, can also be found early glycogen.
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