Is Dialysis only Choice When Creatinine is High in Diabetics

In recent years,incidence of Diabetes and hypertension increased significantly i coupled with the arrival of an aging society. The elderly renal function itself is a downward trend in the role of various etiologies, renal function is more easily damaged. Easy to overlook a lot of patients have symptoms of kidney disease before the knowledge of the kidneys and kidney disease, little is known about or nothing about, so that kidney disease has shown. Patients disapprove, of these symptoms is fatigue due to rest for some time will heal. There are still some patients, due to economic conditions, the disease can have a delaying tactics, less than a last resort not the hospital. Whether it is inadvertently overlooked, or the indifference of the disease, depicting disease in slow development of deterioration, and eventually developed into uremia uremia is a serious kidney disease, most doctors recommend dialysis, then, under what circumstances must do dialysis do?

   Indications to rapidly start dialysis in chronic renal failure:
    (1) drugs can not control the hyperkalemia ≥ 6.5mmol / L;

    (2) sodium retention, oliguria, anuria, high degree of edema associated with heart failure, pulmonary edema, high blood pressure;

    (3) metabolic acidosis pH <7.2;

    (4) complicated by uremic pericarditis, gastrointestinal bleeding, central nervous system symptoms such as trance, drowsiness, coma, convulsions, and psychiatric symptoms.

    Second, early dialysis indications: uremia progress quickly obvious deterioration in general condition, severe gastrointestinal symptoms, and can not eat, malnutrition; concurrent peripheral neuropathy; red blood cell volume in 15%; diabetic nephropathy, kidney disease of connective tissue disease, old age patients.

    Third, the clinical manifestations of uremia, such as nausea, vomiting, edema, heart failure;

    Above, serum creatinine> 707.2μmmol / L, and endogenous creatinine clearance <10ml/min; uremic nitrogen to 30mmol / L (80mg/d1)

    In addition the experts advise patients to control blood sugar and blood fat,follow a  low-salt diet, limit protein intake, smoking cessation, avoid renal Poison, lifestyle changes, correction of anemia, correction of acidosis, the treatment of renal osteodystrophy, correcting malnutrition, treatment cardiovascular complications and so on. The doctor will accurately determine when to require dialysis treatment, ahead of a comprehensive pre-dialysis missionary. So be sure to actively cooperate with the doctors.
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