Why should diabetic patients attach great importance to microproteinuria ? Why?

Because "microproteinuria" is a manifestation of diabetic nephropathy and is a complication of diabetes. Because microprotein in the urine is associated with diabetic nephropathy, it may increase the risk of death from diabetes.

Because diabetic patients will have obvious complications, timely attention to microproteinuria can effectively prevent the possibility of diabetic complications, ensure the health of the body and reduce the degree of damage, these are the main reasons.

Because microproteinuria can generally reflect the level of blood sugar, the blood sugar is low, then the symptoms of diabetes can be reduced.

Diabetic patients should attach great importance to the amount of microprotein, mainly because if there is microproteinuria in the early stage of diabetic patients, it means that diabetic patients may have chronic complications of diabetic nephropathy, so checking proteinuria is also a standard to find out whether patients have diabetic nephropathy in time. Therefore, if the patient finds proteinuria detected in the urine routine during the examination, it means that the patient's kidneys have been damaged and need to be carried out in time.

Proteinuria will be excreted from the kidneys, mainly because the kidneys are the filters of the human body, and the blood and water in the human body will be processed by the kidneys, and the role of the kidneys in this process is to metabolize and excrete various proteins from the body, and if they cannot be filtered, they will remain in the body. After some external factors cause kidney damage, some substances will also be excreted by the kidneys, and these substances enter the urine to form proteinuria, and the formation of proteinuria means that there is a problem with the kidneys.

If you want to avoid proteinuria in diabetic patients, you must make a corresponding ** according to the patient's physical condition, first of all, the diet must be controlled, control the intake of salt, high-fat, high-cholesterol foods, as well as the intake of some high-calorie foods, control weight, and avoid obesity. At the same time, it is also necessary to improve your lifestyle, avoid staying up late, exercise properly, promote blood circulation, help the discharge of toxins, and avoid some bad habits, such as smoking and drinking. For patients with diabetic nephropathy, the most effective way is to control blood sugar, so it must be carried out for **, if the condition is more serious, it is necessary to carry out hypoglycemia**, which is the need to take hypoglycemic drugs.

In severe cases, insulin injections may also be required.

Finally, diabetic patients must observe the abnormalities of their bodies in their daily life, and usually do a good job of physical examination.

Diabetic nephropathy is monitored: urine albumin excretion rate, if urine albumin excretion rate is persistently 20 200 g points, early diabetic nephropathy can be diagnosed. Method:

1 Within 6 months, the rate of albumin excretion in the urine is measured in 3 times, and if the rate of albumin excretion in the urine is 20 200 g in more than 2 times, persistent albuminuria can be determined. However, diabetic nephropathy is reversible, which means it can be cured. If the urine albumin is 200 g, it is in the clinical diabetic nephropathy stage and is irreversible.

Nutrition for Diabetic Nephropathy**.

The standard of dietary nutrition should be changed, and the difference with people without kidney disease is mainly the difference in the proportion of nutrients such as carbohydrates, fats, and proteins, and the difference in the variety of food chosen. But the total calories are the same as in the average patient. The general principle of nutrition is that, first, the grain should be fine, not coarsely processed; Second, the daily protein intake should be reduced to kilograms of body weight.

and to reduce the proportion of plant protein intake; Thirdly, the diet is different for different stages of kidney disease.

Early nephrotic stage: still in a reversible stage. In addition to active blood sugar control and blood pressure control, it is generally believed that moderate dietary protein restriction can reduce the burden on the kidneys and facilitate the recovery of kidney disease.

The diet is mainly low in protein, cholesterol and unsaturated fatty acids.

Clinical nephrotic phase: a low-protein diet may reduce protein loss in the urine and thus favor positive nitrogen balance. The total amount of protein consumed in the daily diet is defined as the total amount of protein lost in the urine in 24 hours, on the basis of a low-protein diet, i.e. kilograms of body weight.

Choose animal proteins that contain a variety of essential amino acids and low cholesterol, and avoid foods such as vegetable proteins such as legumes. You can choose some staple foods that are high in calories and low in protein, such as taro, yam, pumpkin, potatoes, etc., so that the dietary calories can reach the standard range. If you have edema and high blood pressure at the same time, salt restriction is also important.

End-stage renal disease: Proper diet can still reduce the burden on the kidneys. Further control the protein intake, a low-protein diet for 6 consecutive days a week, the protein intake is grams and kilograms of body weight, and the food can be freely chosen on the 7th day.

In end-stage renal disease, the general principle of electrolyte intake is to limit silver and sodium, potassium, phosphorus, and calcium. The decision will depend on the change in the condition at the time.

I think you should go to the internal medicine department to see the kidneys, high protein in the urine means that there are some problems with the kidneys, see how the doctor can help you**.

You have to go to a regular hospital to see, high urine trace is not fun, don't believe the answers on the Internet, once diabetics have these, they must pay special attention.

Microalbuminuria is an early sign of diabetes affecting the kidneys and is diabetic nephropathy.

Urine microalbumin is a sign of early kidney damage such as diabetic nephropathy and hypertensive nephropathy. Urine microalbumin caused by any disease is the damage to the intrinsic cells of the kidney caused by different initial causes, which changes the structure of the intrinsic cells of the kidney, and the function changes with the change of structure, which is reflected in the urine. The clinical examination generally includes assessment of immune dysfunction, monitoring of inflammatory status, cardiovascular risk assessment, and rheumatoid arthritis and streptococcal infection.

For microalbuminuria, Western medicine is widely used as hormones to anti-inflammatory and reduce the progressive damage to the inherent cells of the kidney. The hormone ** microalbuminuria, in a short period of time, will produce a good effect. However, because the innate cells of the kidney that have been damaged are not repaired.

Therefore, when encountering the effects of colds and infections, the disease usually recurs and progressively worsens.

Microalbuminuria is also a sign of changes in the entire vascular system and can be considered a "window" for arterial disease, as it is an early indication of changes in the renal and cardiovascular systems. Urine microalbumin (U-MA) should be measured regularly, once a year for the general population, and every 3 months for patients who are already elevated. In this way, it plays a positive role in the prevention and early stage of kidney disease.

In addition to eating active cooperation, pay attention to the principle of low salt, low fat, high quality and low protein in the diet, limit salt within 3g, do not eat vegetable protein, mainly bean products; You can eat more animal protein, such as milk, freshwater fish, egg whites, etc.

Hello, I would like to ask a question. Diabetes causes urine microalbumin, how should I pay attention to my diet? Have a good recipe?

Hello dear. 1. Diabetic urine microalbumin high diet should pay attention to the principle of low fat, low salt, high quality and low protein. Diabetic high microalbumin in urine is evidence of kidney-related disease, resulting in positive proteinuria.

2. The main thing for diabetic patients is to control their diet, eat less or not eat those foods that are easy to cause blood sugar to rise, and lower blood sugar. Diabetic patients especially need to avoid all kinds of New Year's foods, such as zongzi, moon cakes, rice cakes and other empty liquids.

Hello, I would like to ask a question. Diabetes causes urine microalbumin, how should I pay attention to my diet? Have a good recipe?

Diabetes causes urine microalbumin, how should I pay attention to my diet? Have a good recipe? Hello dear.

In addition to controlling blood sugar, you need to slow down your diet and eat less soy products such as tofu, soy milk and other crude proteins, staple food, you can eat whole wheat flour steamed bread, rice, and pancakes based on millet noodles can also 1. Strictly limit calorie intake; Insist on taking hypoglycemic drugs; Avoid various factors that can cause blood sugar fluctuations, such as emotional agitation and infections. 2. Effectively control high blood pressure. Hypertension not only accelerates the progression of diabetic renal glomerular damage, but also exacerbates diabetic retinopathy.

Effective control of hypertension can reduce urine protein excretion, slow down the rate of renal function decline, prolong the patient's life, and lower blood pressure when blood pressure is greater than 140 90 mmHg**. 3. Salt intake should be restricted. In order to protect the kidneys and reduce their workload, diabetic dishes should be as light as possible, salt intake should be less than 7 grams per day, and water intake should be restricted in severe kidney failure.

4. Eat a high-quality, low-protein diet. A high-quality, low-protein diet is started early in diabetic nephropathy. Protein should be controlled at grams per kilogram of body weight per day, and easily digestible fish and lean meat are preferred, because vegetable protein is not easily absorbed and will increase the burden on the kidneys.

Patients with edema and hypertension should be limited in sodium and given a low-salt diet. 5. Limit potassium intake appropriately. Because diabetic nephropathy is highly susceptible to acidosis and hyperkalemia, once present, it will induce heart rhythm disturbances and coma.

Therefore, the intake of potassium-containing beverages and potassium-containing fruits should be moderated. In addition, protein contains high potassium, and controlling protein intake is also conducive to potassium restriction to a certain extent.

Juncong Wang Rh, Diabetes mellitus can damage the kidneys in different ways.

These damages can involve all the structures of the kidney, but only glomerulosclerosis is directly related to diabetes, which is one of the systemic microvascular complications of diabetes, so it is also called diabetic nephropathy.

The incidence of concurrent kidney disease in patients with type 2 diabetes is 20% to 30%, and the incidence is higher in patients with type 1 diabetes, and about 1 in 3 eventually develop chronic kidney failure.

Proteinuria persists in diabetic patients, and 50% of them enter the uremia stage within about 7 years.

F RH, Baimu Pharmaceutical.

Urine protein testing is the primary means of detecting kidney damage, and the most common method is routine urine testing. If proteinuria is positive. indicates that diabetes has significant kidney damage.

Another test is a 12-hour urine microalbumin test, which requires the patient to take urine for 12 hours and then measure the albumin content. If the urine albumin excretion rate (UAER) is > 20 g min, it is abnormal and indicates early renal damage. That is, in the early stages of diabetic nephropathy, routine tests may be negative for protein in the urine, but urine microalbumin has begun to rise.

F RH, Baimu Pharmaceutical.

UAER is not only an important indicator of early diabetic nephropathy, but also an important indicator for judging the prognosis of diabetic nephropathy. Microalbuminuria typically develops with an average duration of diabetes of 5 years, and about 80% of patients with microalbuminuria progress to clinical diabetic nephropathy within the subsequent 10 years. UAER lasts for 200 g min or 24 hours of routine urine protein quantification", which is one of the bases for the diagnosis of clinical diabetic nephropathy.

Once diabetes is detected, you should go to the hospital in time to check whether there is early kidney damage, and in addition to urine routine, you should also check the urine microalbumin regularly. The presence of microalbumin is an early sign of diabetic nephropathy and is valuable for the prevention of diabetic nephropathy. The results of large-scale clinical studies abroad have shown that long-term strict control of blood sugar can reduce the risk of diabetic nephropathy.

If there are repeated trace amounts of albumin in the urine test, it means that kidney damage has occurred, but this stage is still in the early stage of diabetic nephropathy, and it can be reversed by aggressive**, so that the diabetic nephropathy can be completely recovered, or the development of kidney damage can be delayed.

B2 microglobulin is high. Check your urine microalbumin regularly. Control blood sugar, especially blood pressure; Combine work and rest. For the time being, there is no need to take oral drugs such as kidney protection, Kang, lead, and Yunwang. Huai Tsai.

309 Hospital Zhao Lin.