Treatments for Diabetic Nephropathy
Treatments for Diabetic Nephropathy
The list of treatments mentioned in various sources
for Diabetic Nephropathy
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
- Control diabetic blood sugars - see treatment of diabetes
- Control blood pressure - see treatment of hypertension
- Avoid urinary tract infections
- Avoid kidney infections
- Avoid dehydration
- Adequate fluid intake
- Low protein diet - gives the kidneys less work to do, and so can reduce the strain on the kidney filtration, and thereby hopefully slow any kidney damage.
- Low salt diet - not just blood pressure, but also helps kidneys directly.
- ACE inhibitors - these medications reduce high blood pressure, but have also been shown to benefit kidney nephropathy even if blood pressure is not high.
- Avoid medication side-effects - a common-sense preventive and treatment goal is not to make things worse. Therefore one thing to avoid is other medications, for other conditions, that may damage the kidneys.
- Avoid medical contrast studies (dyes, chemicals) - Some types of tests require injecting you with some substances, such as a dye or other chemical. This helps with a color contrast or some technique. However, your kidney has to remove this substance, and some of these tests may damage the kidneys. For example, if you are getting a color dye test for your eyes, check with your diabetic and kidney specialists before doing this.
- Test for blood clotting problems to avoid stroke - Kidney nephropathy makes abnormalities of hematological blood clotting more likely. This can lead to excessive blood clotting causing a peripheral blood clot and even a stroke. Consider doing blood tests for these hematological abnormalities.
- Continue prevention techniques - The suggestions for prevention of kidney nephropathy can also help prevent the progression of existing kidney disease.
- See also treatment of kidney damage and treatment of kidney failure
- Kidney dialysis
- Kidney transplant
Diabetic Nephropathy: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Diabetic Nephropathy may include:
Diabetic Nephropathy: Marketplace Products, Discounts & Offers
Products, offers and promotion categories available for Diabetic Nephropathy:
Diabetic Nephropathy: Research Doctors & Specialists
- Diabetes & Endocrinology Specialists:
- Cholesterol Specialists:
- Cardiac (Heart) Specialists:
- Urinary & Bladder Specialists (Urology):
- Kidney Health Specialists (Nephrology):
- more specialists...»
Research all specialists including ratings, affiliations, and sanctions.
Drugs and Medications used to treat Diabetic Nephropathy:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Diabetic Nephropathy include:
- Alti-Captopril
- Gen-Captopril
- PMS-Captopril
- Captral
- Cardipril
- Cryopril
- Ecaten
- Kenolan
- Lenpryl
- Romir
Unlabeled Drugs and Medications to treat Diabetic Nephropathy:
Unlabelled alternative drug treatments for Diabetic Nephropathy include:
- Felodipine
- Plendil
- Altace plus Felodipine
- Lexxel
- Logimax
- Renedil
- Feliberal
- Glioten
- Kenopril
- Norpril
- Palane
- Pulsol
- Renitec
Latest treatments for Diabetic Nephropathy:
The following are some of the latest treatments for Diabetic Nephropathy:
Hospitals & Medical Clinics: Diabetic Nephropathy
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Book Excerpts: Treatment of Diabetic Nephropathy
Treatments of Diabetic Nephropathy: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about the treatments of Diabetic Nephropathy.
Acute pyelonephritis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment centers on antibiotic therapy appropriate to the specific infecting organism after identification by urine culture and sensitivity studies. When the infecting organism can’t be identified, therapy usually consists of a broad-spectrum antibiotic. Urinary analgesics are also appropriate.
Alert If the patient is pregnant, antibiotics must be prescribed cautiously.
Symptoms may disappear after several days of antibiotic therapy. Although urine usually becomes sterile within 48 to 72 hours, the course of such therapy is 10 to 14 days. Follow-up treatment may include reculturing urine 1 week after drug therapy stops, then periodically for the next year to detect residual or recurring infection. Most patients with uncomplicated infections respond well to therapy and don’t suffer reinfection.
In infection from obstruction or vesicoureteral reflux, antibiotics may be less effective; treatment may then necessitate surgery to relieve the obstruction or correct the anomaly. Patients at high risk of recurring urinary tract and kidney infections, such as those with prolonged use of an indwelling catheter or maintenance antibiotic therapy, require long-term follow-up. Recurrent episodes of acute pyelonephritis can eventually result in chronic pyelonephritis. (See Chronic pyelonephritis.)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Nephrotic syndrome:
Treatment
(Professional Guide to Diseases (Eighth Edition))
The goals of treatment of nephrotic syndrome are to relieve symptoms, prevent complications, and delay progressive kidney damage. Treatment of the causative disorder — possibly lifelong — is necessary to control nephrotic syndrome. Corticosteroid, immunosuppressive, antihypertensive, and diuretic medications may help control symptoms. Antibiotics may be needed to control infections. Angiotensin-converting enzyme inhibitors may significantly reduce the degree of protein loss in urine and are therefore typically prescribed for the treatment of nephrotic syndrome.
Treatment of hypertension and of high cholesterol and triglyceride levels are also recommended to reduce the risk of atherosclerosis and complications. Dietary limitation of cholesterol and saturated fats may be of little benefit because the high levels that accompany this condition seem to result from overproduction by the liver rather than from excessive fat intake. High-protein diets are of debatable value. In many patients, reducing the amount of protein in the diet produces a decrease in urine protein. In most cases, a moderate-protein diet (1 g/kg of body weight per day) is usually recommended. Sodium may be restricted to help control edema. Vitamin D may need to be replaced if nephrotic syndrome is chronic and unresponsive to therapy. Blood thinners may be required to treat or prevent clot formation.
Supportive treatment consists of protein replacement with infusion of salt-poor albumin or with a nutritional diet of 1.5 g protein/kg of body weight, with restricted sodium intake of 0.5 to 1 g/day; diuretics for edema; and antibiotics for infection.
Some patients respond to an 8-week course of corticosteroid therapy (such as prednisone), followed by a maintenance dose. Others respond better to a combination course of prednisone and azathioprine or cyclophosphamide.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Nephrotic syndrome:
Treatment
(Handbook of Diseases)
Effective treatment of nephrotic syndrome necessitates correction of the underlying cause, if possible. Supportive treatment consists of protein replacement with a nutritional diet of 1 g protein/kg of body weight, with restricted sodium intake; a diuretic for edema; and an antibiotic for infection. Immunosuppressants, antihypertensives, and diuretics can also help control symptoms. Angiotension-converting enzyme inhibitors can decrease protein loss in urine.
Some patients respond to a course of corticosteroid therapy (such as prednisone), followed by a maintenance dose. Patients with chronic nephrotic syndrome that’s unresponsive to therapy may require vitamin D replacement.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Pyelonephritis, acute:
Treatment
(Handbook of Diseases)
Effective treatment centers on antibiotic therapy appropriate to the specific infecting organism after identification by urine culture and sensitivity studies.
Antibiotic therapy
I.V. antibiotics are used initially to control bacterial infection. Chronic pyelonephritis may require long-term antibiotic therapy. Commonly used antibiotics include sulfa drugs, amoxicillin, cephalosporins, levofloxacin, and ciprofloxacin. If the patient is pregnant, antibiotics must be prescribed cautiously. Urinary analgesics such as phenazopyridine are also appropriate.
Symptoms may disappear after several days of antibiotic therapy. Although urine usually becomes sterile within 48 to 72 hours, the course of such therapy is 10 to 14 days.
Follow-up treatment
Follow-up treatment includes reculturing urine after drug therapy stops. Most patients with uncomplicated infections respond well to therapy and don’t suffer reinfection.
CLINICAL TIP: In infection from obstruction or vesicoureteral reflux, antibiotics may be less effective; treatment may then necessitate surgery to relieve the obstruction or correct the anomaly. Patients at high risk for recurring urinary tract and kidney infections — such as those with prolonged use of an indwelling urinary catheter or maintenance antibiotic therapy — require long-term follow-up.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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