Thursday, March 6, 2008

Diabetic nephropathy prognosis?

Diabetic nephropathy poor prognosis, because of its chronic kidney disease for damages to the late appearance of clinical symptoms, usually when urine protein in the course of more than 10 years, it is now clear that in early diabetic nephropathy "misprision period." glomerular lesions already, but with no clinical performance, the only change is urinary albumin excretion rate (UAE) increased. Clinical diabetic nephropathy the event of persistent proteinuria, and renal function will be to curb the sexual decline. About 25% of the patients in six years, 50% of patients within 10 years, 75% of patients 15 years of the development of end-stage renal failure, From there proteinuria died of uremic the average time of 10 years, daily urine protein "3.0g, more deaths in six years. Poorly controlled diabetes, high blood sugar, high blood pressure and high protein diet diabetic nephropathy patients accelerate the deterioration of renal function. Also, in recent years observation confirmed that smoking on diabetic nephropathy is a risk factor, Diabetes 19% of smokers have proteinuria, non-smokers only 8% had proteinuria. About 5% ~ 15% of diabetic patients occurred uremia, but at age 50 for those aged below 40% ~ 50% Relatively speaking, to the age of 26 ~ 45 years the mortality rate among the highest, the young diabetic patients die of the major reasons. The prognosis of diabetic nephropathy with renal pathology nature of the change, diffuse small nodular type of diabetic nephropathy easy progress to uremia.

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