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• The patient's skin is pale, icteric, itchy. Growing weakness, lethargy, lethargy. There is a smell of urine from the mouth, there may be vomiting and loose stools.
• The internal organs are affected, the development of heart failure is possible. At this stage, the patient urgently needs renal replacement therapy.
• In order to start treatment on time and improve their prognosis, patients with diabetes need to be regularly examined by their endocrinologist. It includes both conventional and special research methods.
• General blood and urine tests. UIA definition. Determination of the level of rizatriptan pills. A biochemical blood test, which must necessarily include cholesterol and its fractions, kidney indicators, indicators of iron metabolism, and, if necessary, calcium, phosphorus and potassium.

How to detect diabetic nephropathy?

• Measurement of blood pressure, examination of the feet. Calculation of maxalt pills using special formulas. Examination of the fundus. With the development of severe renal failure - measuring the level of parathyroid hormone and performing densitometry.
• Treatment of diabetic nephropathy should be complex, using several groups of drugs and non-drug methods. Consider the main stages in the treatment.
• Each patient with diabetes should follow a diet, strive to reduce body weight to normal, increase physical activity. It is necessary to stop smoking, sharply limit alcohol.

Lifestyle modification.

• With the development of renal failure, it is necessary to limit protein foods, phosphates (meat, fish, cheese) and potassium (legumes, dried fruits, potatoes, herbs, tea, coffee).
• The main indicator of diabetes compensation is the level of glycated hemoglobin. With the development of diabetic nephropathy, it is necessary to strive to reduce it to 7% and below.
• Patients with type 1 diabetes receive treatment only in the form of insulin. It is administered in a basal bolus regimen (partly to maintain basal metabolism, partly as a bolus for meals).
• Patients with type 2 diabetes can receive oral glucose-lowering drugs, however, it must be remembered that with a decrease in GFR and the development of renal failure, some of them cannot be taken, therefore, it may be necessary to switch to insulin therapy.

The dose of insulin in diabetes mellitus is selected individually. With a decrease in GFR, it decreases by 20�50%.

• Reducing blood pressure to normal levels allowssignificantly slow down the progression of diabetic nephropathy.
• Various groups of drugs and their combinations are used to buy maxalt online blood pressure, however, the drugs of choice in the absence of renal failure and elevated potassium levels are ACE inhibitors (enalapril, lisinopril, etc.), or losartan. These drugs not only reduce blood pressure, but also have a positive effect on the condition of the kidneys.
• It is necessary to normalize the level of cholesterol, its fractions and triglycerides. Taking drugs for these purposes is carried out only under the supervision of a doctor, since with CKD 4 and 5 they may need to be canceled.
• Since the kidneys produce a substance involved in hematopoiesis, anemia often occurs with the development of rizatriptan. Anemia leads to oxygen starvation of organs and tissues that are already experiencing intoxication. Therefore, in this case, it is imperative to take drugs that increase the level of hemoglobin in the blood.