Patients with Diabetes often Neglect Renal Injury

As more and more people are diagnosed with Diabetes, the incidence of Diabetic Nephropathy also rises year after year. Diabetic Nephropathy has become the primary cause of Uremia and nearly 50% of the patients on dialysis are patients with Diabetic Nephropathy. Many patients with Diabetes only care about how to control their blood sugar and often neglect renal injury. As a result, in many cases, the patients do not know they have developed into Diabetic Nephropathy until they have obvious clinical symptoms.

Diabetes is a systemic metabolic disease. If you get Diabetes, high blood pressure only one aspect of your symptoms and your body organs will also receive serious injuries. High blood pressure influences the organ functions by pathological changes of capillaries.

Our kidneys are composed of abundant capillaries. If Diabetes triggers microangiopathy, kidneys will be damaged primarily thus leading to Diabetic Nephropathy.

Therefore, the patients should know that kidneys are responsible for the excretion of metabolic wastes and excess fluid. The patients with Diabetes have glucose metabolism disturbance. Over time, the high blood glucose will certainly lead to microangiopathy and involves kidneys finally and cause Diabetic Nephropathy.

In order to prevent renal injury by Diabetes, the patients should take preventive measures.

1. Control blood glucose

The normal empty blood glucose should keep between 3.9~6.0 mmol/L. If the empty blood glucose exceeds 7.00 mmol/l or the 2-hour postprandial blood glucose is above 11.1mmol/l, the person will be diagnosed with Diabetes. Once someone has been diagnosed with Diabetes, he/ she should keep the blood glucose between 6~7 mmol/l in order to avoid hypoglycemia.

2. Monitor HBALC and urine microalbumin

Empty and postprandial blood glucose can only reflect the change of blood glucose in a short time. HBALC can reflect the blood glucose fluctuation in the recent three months. Therefore, it can reflect the disease condition more accurately. ADA suggests that the HBALC should keep below 7%.

Urine microalbumin is an early symptom of Diabetic Nephropathy. When the microalbumin in urine is above 20μg/min, the patients with Diabetes should do relative checks to find if they have renal injury.


If the patients with Diabetes can take preventive measures in time, they will be able to prevent renal injury and avoid it developing into Diabetic Nephropathy.