Among the growing number of elderly people suffering from diabetes , and can
you know? Diabetic nephropathy is a common complication of diabetes , patients
increasingly large elderly population , and it is seriously affecting the
patient's health and life . Thus , patients with diabetic nephropathy should be
prepared to care . So care measures , what does?
1, the control of blood glucose : elderly diabetic nephropathy care measures
are based on the good doctor to control blood sugar , because high blood sugar
is considered to be caused by kidney disease due to start , strict glycemic
control can delay the progression of kidney disease in pre-clinical , long-term
maintenance of normal blood sugar , enables stable renal function , we observed
glucose concentrations and urinary protein has a positive correlation , the
reaction should be carefully observed after treatment , such as: changes in
blood glucose , glycated serum protein index , changing urine and ketone bodies
, such as renal function . Strict implementation guidance in elderly patients
diet plan , as much as possible so that blood glucose control in 6.5mmol / L or
less.
2 , control of blood pressure : hypertension patients with diabetic
nephropathy , kidney disease have a major impact on their progress , and strict
control of blood pressure can delay the development of diabetic nephropathy.
Elderly diabetic nephropathy care measures should be a daily routine monitoring
of blood pressure , blood pressure ≥ 150/90mmHg who have indications for the use
of antihypertensive drugs , with normal renal function when converting enzyme
inhibitor is preferred, renal dysfunction in Plendil be preferred , such as
calcium antagonists , carefully observe the use of antihypertensive drugs in
patients with blood pressure , reported to the doctor at any time , and when you
adjust the application of antihypertensive drugs .
3 , protect blood vessels : vascular elasticity poor patients with diabetic
nephropathy , vascular thin, brittle , hard for the characteristics of
venipuncture to gentle movements , sharply, select vessels should follow the
small to large, from far to near principle forearm move, veins to try to
protect, to keep the blood dialysis , this hurdle is especially important.
4 , psychological care
Elderly diabetic nephropathy patients after learning of the disease often
appear pessimistic mood , the treatment of loss of confidence , which in turn
generates fear. These negative emotions can affect immune function through the
central nervous system and endocrine system , so that the body of glucagon ,
increased release of catecholamines , etc. , thereby increasing the disease .
Therefore, we should be concerned about comfort them, and it enhanced the
confidence and courage to overcome the disease , in order to facilitate the
elimination of pessimism , optimism kept thinking , emotional stability , in
order to profit to the best therapeutic effect.
5 , the skin care
Immune dysfunction in elderly patients with diabetes , with microvascular
disorders, local circulation disorders. As the sugar content increases the
patient's skin , it is appropriate bacteria , so that the skin 's resistance is
poor, easy to infection . Therefore , patients should be kept clean room with
personal hygiene , regular ventilation, ground nails , bathe , especially
hand-foot perineum clean and avoid scratching the skin infection . For
critically ill patients , help them change position , massage pressure areas ,
sponge bath with warm water helps the body , 1 to 2 times per week , and pay
attention to foot care , keep the local thermal drying , regular massage ,
promote blood circulation. Towels should always disinfect the sun to minimize
risk factors .
6 , dialysis care sugar
Kidney dialysis patients with diabetes is the main treatment for end-stage
renal disease . Entering the peritoneal dialysis or hemodialysis patients with
chronic care need to be strengthened to protect the good fistula , prevent
infection and fistula off. Patients on peritoneal dialysis should be strictly
formal operations, strengthen the abdominal skin care to prevent infection and
peritoneal dialysis tube tunnel , should strengthen primary care , and accurate
records of intake , close observation of dialysis cases, so that patients get
good treatment .
7 , dietary treatment and care
Diet therapy is the main basis for the treatment of diabetic nephropathy ,
the principle is to limit the amount of sodium in the diet principles diabetes,
protein intake to limit , to ensure a daily intake of soluble fiber foods to
slow food absorption , reduce postprandial blood sugar , improves lipid
metabolism , promote bowel movements and prevent constipation. So that patients
eat more green leafy vegetables, and pay attention to vitamin foods provide
enough vitamin A and vitamin C. Tastes to light as well, try not to eat pickled
products, fried foods, animal offal high fat content foods, strictly control the
fat intake.
Through the above description, you are " the elderly diabetic nephropathy
patients how to properly care should be clear now , I hope the majority of
patients must be early detection and early treatment , and to the regular
hospital for treatment of kidney and solve problems on their own pain . I wish
you health .
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