血糖控制与肾脏保护

Blood glucose control and kidney protection

糖尿病相关肾损害是影响患者寿命的主要危害之一。糖尿病合并肾损害受多种因素影响,肾脏疾病与糖代谢异常关系密切,在诊断糖尿病肾病时需综合分析,明确主要致病机制,以便后期综合治疗。强调健康有益于肾脏保护的生活方式、监测血糖、血压自我管理是延缓肾损伤的基础。糖尿病肾病抑或糖尿病合并慢性肾脏病的降糖治疗模式需根据不同糖调节水平和肾功能状态,遵循个性化治疗的原则,选择具体控糖目标和治疗方式。注意管理体重和其他脏器功能的保护,注意多种药物共用的相互影响,权衡利弊。

Diabetes-related kidney damage is one of the major hazards affecting the life span of patients.Diabetes mellitus with kidney damage is affected by a variety of factors,and kidney disease is closely related to abnormal glucose metabolism.Comprehensive analysis is needed in the diagnosis of diabetic nephropathy to identify the main pathogenic mechanism for the later comprehensive treatment.Emphasis on a healthy,kidney-friendly lifestyle,monitoring of blood sugar,and self-management of blood pressure are the basis for delaying kidney injury.The hypoglycemic treatment mode of DKD or diabetes mellitus combined with CKD should be based on different glucose regulation levels and renal function status,and follow the principle of personalized treatment to select specific sugar control targets and treatment methods.More attention should be payed to the management of body weight and other organ function protection,the mutual influence of multiple drugs.