In the past two months, the 45 -year -old sister Zhang was deeply plagued by vaginal itching. Although she went to the hospital for gynecology, she was informed that she was a mycotic vaginitis. She also prescribed medicine and went home. However, it could not completely solve the problem. Medication can only reduce itching, and once the drug is stopped, recurrence is immediately.
At the agreed review time, while telling the doctor about the use of her medication, Sister Zhang also complained that she was not well controlled because of the problems of vaginal itching. The recent blood sugar was not controlled. It was considering whether to go to the endocrinology department.
As soon as I heard this, the doctor was busy asking Sister Zhang’s blood sugar situation, and arranged blood sugar monitoring and urine tests according to the situation of Sister Zhang. It was found that not only did Sister Zhang not only increased blood sugar, but also had proteinuria, and diabetic nephropathy had occurred.
And Sister Zhang’s vaginal itching symptoms are related to diabetic nephropathy. The glucose in urine provides nutrition and environment for the growth and reproduction of mold in the vagina. Diabetic nephropathy causes renal damage and decreased urine output. The effect of weakening, eventually led to Sister Zhang’s vaginal itching symptoms for a long time and recurred.
Why do diabetes develop into diabetic nephropathy?
The diet of modern people has improved, and the incidence of diabetes has also risen. Many diabetic patients have even developed into patients with diabetic nephropathy.
The reason why diabetes develops with diabetic nephropathy has a certain relationship with inheritance. A survey of epidemiological diseases pointed out that among people with a family history of diabetic nephropathy, the chance of diabetic nephropathy is higher than that of ordinary people.
In addition, once you have diabetes, you must pay attention to control your own blood sugar, blood pressure, and blood lipid levels. Eventually induced diabetic nephropathy.
Drinking, smoking, and staying up late will also increase the risk of developing diabetes into diabetes and nephropathy. Because drinking and smoking can enhance the condensation of the blood, increase blood pressure, and over time, it is easy to induce hypertension, and then promote the complications of nephropathy of chronic microvascular lesions in diabetic patients.
From the perspective of traditional Chinese medicine, staying up late will lose kidney qi, leading to the decline of evil poison and immunity, thereby increasing the risk of diabetes to develop diabetes and nephropathy. Therefore, if you have diabetes, avoid drinking, smoking, and staying up late, and control your blood sugar and blood pressure from the action.
Before the advent of diabetic nephropathy, there are 5 signs of the body
Li Bing, director of the Department of Nephrology of Chongqing Zhongnan Hospital, pointed out that among the chronic microvascular complications of diabetes, diabetic nephropathy is the most common and the most harmful. We must be alert to the signs of the body before the advent of diabetic nephropathy.
1. Skin symptoms
In addition to the vaginal itching mentioned earlier, patients may also have skin itching. Because the harmful substances in the human body need to rely on the kidneys to filter and discharge with the urine. If the kidney is healthy, it may affect the excretion of harmful substances, which will cause skin tissue to be stimulated and itching symptoms.
Some patients may also have symptoms on the neck or feet, such as repeatedly growing rash like pustules in the hind neck pillow, which will hurt when touching;
2. Poch urine
When the filtration function of the renal tube appears abnormal, the protein in the human body is easily lost. As the urine is excreted together, it shows the foam urine visible to the naked eye.
If the patient can realize the problem at this time and control blood sugar, the urination can generally recover. If the patient’s blood glucose is not controlled, the condition of trace foam urine will continue, and the foam in the urine will not dissipate for a long time.
When the patient’s renal function decreases, the water in the body may not be discharged smoothly through the kidneys, resulting in the body’s retention and edema of water sodium.
4, bad breath
When renal damage occurs, the reduction of the body’s ability to excrete harmful matter may also cause the patient’s mouth to produce an unpleasant smell.
Chronic microvascular lesions can cause the living environment of blood cells to deteriorate, reduced red blood cells and damage to life, causing patient anemia.
Patients must grasp the early signals of diabetic nephropathy, and try to check early early treatment to prevent the disease from progressing to an irreversible severe renal damage.
Don’t want to worsen the snow, prevent diabetes and nephropathy like this
In the chronic microvascular complications of diabetes, although diabetic nephropathy is common, it is not impossible to prevent.
In terms of preventing diabetic nephropathy, patients should not consume too much protein, because this will cause excessive protein metabolites (such as creatinine, urea nitrogen, etc.) to accumulate in the body, thereby increasing kidney burden and increasing proteinuria.
Therefore, it is recommended that patients do not eat more protein -rich foods such as trotters. In addition, the trotters are fatter, and the fat content is very high. Eating more can easily cause blood lipids. In addition, foods that may cause adverse blood glucose and blood lipid control in patients include desserts, juice, sugary drinks, etc., and they should also touch less.
However, the necessary protein is indispensable for maintaining the nutritional state of the body. Therefore, it is recommended that patients’ daily diet should follow the principle of low protein and mainly based on high -quality animal protein (accounting for 2/3).
Control the daily protein intake at 0.8 ～ 1.0g/kg weight, that is, to eat fish, eggs, lean meat, milk, and milk, which can ensure the body’s demand for “essential amino acids”.
In addition, patients with diabetes should also control the intake of salt. Eating 3 to 6 grams a day is enough, which helps reduce the risk of cardiovascular disease and urine protein in patients. Of course, in order to effectively prevent diabetic nephropathy, diet control is only one aspect. Patients should conduct a comprehensive management of their lifestyle, such as:
· Exercise: In the range of physical tolerance, moderate -run, riding, swimming, sit -up, dumbbells and other aerobic exercises such as giving up, which are good for weight loss and control of blood sugar and blood pressure. It can also improve lipid metabolism, thereby reducing the risk of diabetes and nephropathy.
· Smoking and alcohol: Tobacco and alcohol are high -risk factors that induce hypertension, which leads to increased blood pressure in the renal blood vessels, causing protein leakage and damage to glomerular endothelial function.
· Strictly control the indicators related to kidney damage: including blood glucose, blood pressure, and blood lipid levels. In addition to their own self -test, they must be regularly tested in the hospital to make corresponding adjustments to the patient’s lifestyle. Intervention by using hypoglycemic drugs, antihypertensive drugs, and lipid -lowering drugs.
 “The importance of premature treatment of diabetic nephropathy” People’s Daily Online .2021.10.25
 What are the early comprehensive interventions of diabetic nephropathy? “Xinmin Evening News .2021.11.10
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 “Prevent diabetic nephropathy, you should keep these 6 defense lines” surging news .2021.10.12