Overview of Diabetic Nephropathy Stage 4

The features of stage 4 are large amount of proteinuria, or persistent proteinuria (over 0.5g per day), high blood pressure and 36% damaged glomerulus. In this stage, it is different from other kidney disease that the proteinuria is not due to the reduce GFR (glomerular filtration rate). As the urine protein is lost, edema and hypoproteinemia are likely to present. Yet, only 30% of diabetics can develop the typical symptoms of diabetic nephropathy namely, a large amount of proteinuria (over 3.0g/24h), edema and high blood pressure. Most patients with diabetic nephropathy develop severe renal edema which is due to insulin that can alter the work of sodium and potassium. Both the insulin by the diabetes people and the hyperinsulinemia of people with diabetic nephropathy can change the sodium metabolism leading to the sodium retention especially with the high-sodium diet. In this stage, GFR will drop by 1ml/min each month but most people will have a not very high creatinine level.

Here are some tips for people with diabetes nephropathy stage 4.

1. Control the blood glucose by medication and diet.

2. Restoring the kidney is the key to treat diabetic nephropathy.

3. Prevent a cold and infection because the cold and infection will aggravate the illness.

In summary, diabetic nephropathy is a complication of diabetes that indicates that your kidney has been damaged to some degree. If you want to know more about diabetic kidney disease or diabetic, you can consult our experts online. We are glad to help you!

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