With diabetes, all organs and systems of the body, including the kidneys, are affected. This is diabetic nephropathy.
In the first place, diabetes affects small blood vessels - arterioles, capillaries, venules. This process is called microangiopathy and leads, in particular, to kidney damage.
Developed diabetic nephropathy, and vsposledstvi the final stage of chronic renal failure is the first place among the causes of death of patients with diabetes mellitus type 1 and second - in patients with type 2 diabetes mellitus.
How does diabetic nephropathy begin?
No wonder diabetes is called diabetes mellitus. The surplus of blood sugar in the body is trying to withdraw from the urine - this explains the characteristic thirst for diabetes and frequent urination.
The patient constantly drinks and often urinates, but what does the kidney do with it? Creating a huge amount of sweet urine, the kidneys undergo pathological changes. This condition is called diabetic nephropathy.
Like all complications of type 2 diabetes, the initial stage of nephropathy passes unnoticed for some time, developing slowly, gradually. The patient only notes an increase in the daily amount of urine, but thus does not feel any painful sensations.
What are the analyzes?
For a long time urine analysis does not indicate any deviations. After some time, urine detects a protein (proteinuria).
Normally, the protein content in the urine is so small that it is virtually unknown or is determined only by over-sensory techniques, that is, it should not be practically.
Sometimes protein traces are detected. Detection of microalbuminuria - microconcentrations of protein in the urine - confirmation of irreversible changes in the kidneys.
What is dangerous diabetic nephropathy
Protein steadily reduces the rate of blood filtration (an average of 1 ml per month). Given that diabetic nephropathy sneaks imperceptibly, the lack of timely, extremely important, and proper treatment is usually the case in this case.
Latent five or seven years of illness can lead to the development of renal failure so serious that the question arises about the need for hemodialysis.
Treatment of diabetic nephropathy
As the preventive measures of diabetic nephropathy, at an earlier stage, the optimal compensation for diabetes mellitus.
From therapeutic measures in the first place is the treatment of diabetes - a diet and pharmacotherapy.
At the terminal (final) stage of the disease, substitution renal therapy is performed, mainly through hemodialysis, as well as by organ transplantation.