Posts Tagged ‘Kidney disease’
Prevention and Delay of Renal Disease Progression
Drugs for blood pressure
Scientists have made tremendous progress in developing methods that slow the onset and progress of kidney disease in diabetics. Drugs that lower blood (antihypertensives) can significantly delay the development of kidney disease. A class of drugs, inhibitors of angiotensin converting (ACE) inhibitors, have proved effective in preventing progression to stages IV and V.1 diuretics, beta blockers, modulators of the nervous system and adrenergic blockers calcium channels may also help control blood pressure in patients with diabetes mellitus.
An example of an ACE inhibitor captopril is effective, usually made by doctors to treat kidney disease in diabetic patients. The benefits of captopril extend beyond its ability to lower blood pressure: can directly protect the glomeruli. ACE inhibitors decreased proteinuria and slowed deterioration even in diabetic patients who had no hypertension.
Any medicine that helps patients to achieve the goal of having a voltage of less than 125/75 is beneficial. Patients with mild hypertension or persistent microalbuminuria should consult their doctors about the use of antihypertensives.
Diets low in protein. Read the rest of this entry »
Five Stages of Kidney Disease in Diabetes
The deterioration that characterizes kidney disease in diabetic patients occurs in clusters and around them. The glomeruli are the filtering units of blood from the kidneys. At the beginning of the disease, the filtration efficiency decreases and important proteins are lost from the blood in the urine. Medical professionals judge the presence and extent of incipient renal disease by measuring the protein content of urine. Later in the course of the disease, the kidneys lose the ability to remove blood waste products, such as creatinine and urea. By determining these blood products is not known how much has advanced kidney disease.
Symptoms related to kidney failure usually occur only in the later stages of the disease, when kidney function has decreased to less than 10 to 25 percent of normal capacity. For many years before it reaches that point, kidney disease in diabetes is a silent process.
The five stages of the disease
Scientists have described five stages of evolution of renal failure in diabetics.
Stage I. Increases the flow of blood through the kidneys, and therefore, clusters. This is called hyperfiltration. The kidneys are larger than normal. Some people stay indefinitely in stage I, others go to Stage II after many years. Read the rest of this entry »