I have diabetes, high blood pressure, positive protein in my urine, how can I treat it?

Hello, your urine protein ++, high blood pressure, indicating diabetic nephropathy, I don't know how kidney function is, it is recommended to check urea nitrogen, creatinine, uric acid, to determine whether kidney function is impaired, if kidney function is impaired, indicating that diabetic nephropathy has developed to stage 4-5, this period needs to be timely blocked from developing into uremia. If the kidney function is not impaired, the disease has not progressed to the middle and advanced stages, ** blood pressure can be controlled on the basis of controlling blood sugar, and at the same time, it can be combined with traditional Chinese medicine to benefit the spleen and strengthen the kidney** to improve the symptoms of diabetic nephropathy.

Suggestions: 1. Control blood sugar steadily, eat the amount, eating time, and exercise amount as much as possible to reduce blood sugar fluctuations.

2. Stabilize blood pressure to 130 90mmHg, try to use long-acting antihypertensive drugs and medium-acting antihypertensive drugs to stabilize blood pressure, and use angiotensin-converting enzyme inhibitors (ACE inhibitors, such as enalapril, benazepril, indolepril, etc.) as much as possible, and angiotensin receptor-II antagonists (ARB) can be used when cough caused by ACE II drugs cannot be tolerated.

3. Drugs to improve microcirculation**, such as pancreatic kininogenase and calcium oxybenzenesulfonate capsules.

4. Antioxidant drugs**, such as statins, simvastatin capsules.

5. Promote blood circulation and eliminate blood stasis and protect the kidney** Chinese patent medicines, such as Jinshuibao capsules, Bailing capsules, compound thrombosis capsules, etc.

Don't shoot insulin alone, and control proteinuria, otherwise the damage to the kidneys will be more severe. It is recommended that you take sartan drugs, which not only lower blood pressure, but also reduce protein in the urine.

The first point is to pay attention to proteinuria, because if you have such a disease, if the protein is very high, it will definitely worsen the condition, the second point should be noted that the usual diet must be light, so as to control proteinuria, the third point is that you should pay attention to three meals a day, you must pay attention to the amount of diet, do not eat too full, so as to control proteinuria well.

Because once proteinuria appears, it means that kidney function is impaired. Because high blood pressure and diabetes can both cause abnormal kidney function, it is important to pay attention to your diet, control your weight, and take your medication on time.

For doctors, proteinuria is an important marker of kidney damage. If diabetic and hypertensive patients see proteinuria, they can consider whether to further examine the kidneys to see if they are damaged, and at the same time should actively protect the kidneys to avoid kidney failure.

1. High urine protein caused by high blood pressure, this situation is mainly considered hypertensive nephropathy, generally speaking, most of the patients with a medical history of more than ten years are likely to be seen.

2. It is recommended that it is best to go to the nephrology department to make it clear in detail, if it is a long history of hypertension, it is easy to cause kidney failure, which should be early**.

To pay attention to proteinuria, first of all, the first point is that if the normal value of proteinuria is abnormal, it means that hypertension and diabetes have entered a state of complications, so it is very dangerous, and the second point is to pay attention to the reason for proteinuria is that if your proteinuria is not normal, then it means that your usual diet is irregular and abnormal, so you should pay attention.

Proteinuria means that the kidneys are damaged, and the more proteinuria, the more severe the kidney damage, and severe kidney damage means uremia, kidney failure, and in severe cases, it can be life-threatening.

Hypertension refers to a systemic disease characterized by increased arterial systolic blood pressure and/or diastolic blood pressure (>=140 90 mmHg) in the resting state, often accompanied by disorders of fat and glucose metabolism, as well as functional or organic changes in organs such as the heart, brain, kidney, and retina. Resting for more than 5 minutes, blood pressure measured on the same day for more than 2 times" = 140 90mmHg can be diagnosed as hypertension.

Once diagnosed with hypertension, it is necessary to insist on taking antihypertensive drugs for life to avoid the occurrence of cardiovascular and cerebrovascular diseases, usually taking amlodipine, nitrendipine, captopril, etc. Blood pressure changes should also be closely observed.

At the same time, you can take some drugs that soften blood vessels, such as troxerutin, vitamin E, compound salvia tablets, etc., which can help lower systolic blood pressure.

You can take some long-acting antihypertensive drugs, and the antihypertensive effect is relatively good. Once a day is fine.

Problem analysis: According to what you said, the patient has an increase in protein in the urine, and can use drugs such as protecting kidney function according to the doctor's guidance**, which is related to kidney function damage caused by high blood sugar and high blood pressure.

Suggestions: It is recommended that patients should first pay attention to the positive primary disease, such as using captopril limb meditation and thirst quenching pills to control blood pressure and blood sugar differences, and at the same time cooperate with Jinshuibao capsules to protect kidney function, pay attention to a low-fat and low-salt diet as much as possible in life, pay attention to good rest to avoid overwork and colds.