Hypertension complicated with diabetes mellitus in common clinical, and easily complicated with renal damage, how early prevention and treatment of hypertension treatment has become a problem.
From the point of view of prevention and to, main measures:
1 very good control of blood pressure, diabetes mellitus should be in a certain period of time to control blood within 130/70mmHg.
2 strongly recommend adverse changes in lifestyle, emphasizing the importance of exercise, diet control combination, to achieve a good level of glycemic control.
3 regular inspection of microalbuminuria, urine routine, renal function ( BUN, Cr, UA ), monitoring of kidney function.
4 western medicine thinks that ACEI and ARB drugs protect the kidney, can be under the guidance of a doctor to rational use.
Treatment of early renal damage of main measures:
1 we must first consider the play to the role of traditional Chinese medicine, integrated traditional Chinese and Western medicine treatment. In western medicine, effective antihypertensive basis, with traditional Chinese medicine treatment, can increase the rate of standard blood pressure, slow down the progression of renal damage.
The 2 western medicine should be based on different renal damage during the time the reasonable choice, as in severe renal injury should not use ACEI, renal artery stenosis should not use ACEI. The early stage of microalbuminuria, application of ACEI and ARB helpful.
3 according to our recent clinical observations, for microalbuminuria creatinine, urea nitrogen and mildly elevated stage, only adding Chinese herbal medicine treatment can make the creatinine, urea nitrogen declined.
4 avoid aggravates renal injury in drugs, antibiotics, cold medicine should be cautious when.
5 adjustment of drugs to treat diabetes, reduce the renal injury of hypoglycemic drugs dosage or take other drugs, oral medicine may consider for poorly controlled with insulin therapy.
The method includes early diagnosis:
1 regular inspection analysis of urine, urinary microalbumin determination.
2 regular inspection of urea nitrogen, creatinine, urea, uric acid, renal function.
3 necessary for 24 hour urine protein determination.
4 necessary B ultrasound examination of the kidney.
5 regularly find hypertension specialist referral is one of the most important methods.
To prevent diabetic hypertension caused by renal damage, must accomplish regular inspection, long-term treatment, combined treatment of TCM and Western medicine for early renal damage prevention and control is one of the more effective treatment strategy.
No comments:
Post a Comment