Why Patients with Chronic Kidney Failure Secondary to Diabetes Should Start Dialysis Earlier
1. Fast advance of kidney deterioration
Kidney damage secondary to Diabetes worsens more rapidly than other types of kidney disorders. Additionally, if patients have high blood pressure, the condition will aggravate more quickly.
2. high risk of complications in blood vessels
The incidence of patients with Diabetes developing blood vessel complications, like cardiovascular diseases and diabetic retinopathy, is much higher than other kidney diseases. Once the creatinine clearance rate (Ccr) declines below 10-15ml/min, it will be very difficult to control the blood pressure. As a result, fundus hemorrhage and lethal cardiovascular diseases will occur.
3. The creatinine level can not reflect the kidney damage correctly
Patients with Kidney Failure secondary to Diabetes have the dysfunction of globin synthesis and their total amount of muscles decreases, so the creatinine level can not reflect the severity of kidney damage correctly. Symptoms of Kidney Failure secondary to Diabetes like swelling, anemia and systemic poisoning are much more overt.
Generally, patients with Kidney Failure secondary to Diabetes should start dialysis when the following conditions occur.
1. Patients who experience systemic poisoning at an early stage or systemic swelling, less urine and Ccr declines to 15-20 ml/min.
2. Patients whose blood pressure is easy to be controlled and nutritional status is good should start dialysis when their Ccr declines to 10-15ml/min.
3. Patients with refractory swelling, severe high blood pressure and malnutrition should start dialysis earlier.
If kidney patients can make a proper dialysis plan, have appropriate nutrition supply, control and treat various complications effectively, they can have better prognosis.
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