Post Date December, 03 2023
Lao Wang has suffered from diabetes for more than 10 years. In recent years, he has continued to have proteinuria. Now his serum creatinine has reached 500 μ About mol/L, often with uncontrolled blood pressure, nausea and vomiting. The doctor advised him to receive dialysis treatment earlier, but Lao Wang could not accept it. He said that other patients with kidney disease would not dialysis until their creatinine was more than 700umol/L. Why did he need dialysis so early? So, when should diabetes nephropathy patients have dialysis? The answer is clear - sooner rather than later!
For general uremic patients, dialysis or kidney exchange treatment should be taken when the creatinine clearance rate reaches 6ml/min, while the treatment for diabetes nephropathy patients needs to be earlier. Generally, dialysis indications are available when the creatinine clearance rate reaches 15ml/min.
If the patient has obvious gastrointestinal symptoms, uncontrollable hypertension or frequent significant heart failure symptoms, dialysis can be carried out in advance without over-considering the creatinine clearance rate. Patients with diabetes nephropathy are accompanied by other chronic complications of diabetes, so the symptoms of uremia in them are often earlier and more serious than other patients. Dialysis can remove toxins, alleviate symptoms, significantly improve metabolic abnormalities, and reduce the risk of death from cardiovascular complications in a short time.
