What Causes Swelling for Diabetics?
What causes swelling for diabetics? Diabetes is familiar to everyone. Perhaps the complications of diabetes mellitus are seldom noticed, and the edema of diabetic patients is mostly caused by its own complications, the reasons are as follows:
1. Diabetic Nephropathy: In the early stage of diabetes mellitus, glomerular ultrafiltration is the most prominent feature. In the period of diabetic nephropathy, after renal vascular injury, glomerular filtration rate decreases, a large number of proteins are discharged from urine, plasma osmotic pressure decreases, and plasma protein is low, which is called "hypoproteinemia" in medicine. At this time, water in blood can easily enter tissues through blood vessels. That is edema.
2. Diabetic Cardiovascular Disease: Diabetic patients are generally obese, and often accompanied by abnormal blood pressure and lipid. These are risk factors for atherosclerosis, and diabetes is one of them. With diabetes for long term, patients are prone to right heart failure and congestion systemic circulation, and then there will be jugular vein enlargement and lower limb edema.
3. Diabetic malnutrition: As a hypermetabolic disease, diabetes mellitus is prone to malnutrition, coupled with loss of protein in the body, so it is prone to edema. Due to gravity, foot is the area where swelling appears easily.
4. It may be the early symptoms of diabetic foot. The high glucose environment in the body makes the foot of diabetic patients extremely fragile. It is necessary to pay attention to the occurrence of foot swelling to prevent the progression to diabetic foot.
There are many other reasons for this kind of symptoms, such as diabetic microangioneuropathy, infection, etc. However, regardless of the etiology, diabetic patients should seek timely medical treatment when they have this kind of symptoms.
Treatment for diabetics to improve swelling
1. There is no specific treatment for diabetic nephropathy. Most patients who are manifested as Nephrotic Syndrome should not be treated with glucocorticoid cytotoxic drugs or Tripterygium wilfordii.
2. Blood sugar should be controlled actively, including dietary therapy, oral hypoglycemic drugs and insulin. The treatment principle of diabetic nephropathy is that when azotemia occurs, the dosage and type of insulin and oral hypoglycemic drugs should be adjusted in time according to blood sugar.
3. To restrict protein intake (>0.8g/day) and add essential amino acids or alpha-ketonic acid if necessary.
4. Low-dose thiazide diuretics can be used in patients with hypertension or edema but normal renal function. For patients with heavy swelling, besides strictly sodium intake restriction, a little more diuretics can be used. For patients with high blood pressure or cardiac insufficiency, when diuretics do not take effect, dialysis can be started.
5. To actively reduce blood pressure to below 18.6 Kpa. ACEI is recommended as the first choice for the treatment of diabetic nephropathy. It can improve the GFR and reduce the urinary albumin excretion rate while lowering blood pressure, but it should prevent the decline of functional GFR. Diuretics, calcium channel blockers, beta-blockers and angiotensin II receptor antagonists should be used as appropriate.
6. The treatment principle of diabetic nephropathy should actively treat hyperlipidemia and hyperuricemia.
7. The application of anti-platelet aggregation and adhesion drugs and the correct use of Traditional Chinese Medicine based on syndrome differentiation have a good effect on controlling blood sugar and improving microangiopathy.
8. Alternative treatment should be considered when Ccr is 10-15 ml/min or serum creatinine is 530-710 um on/L.
What causes swelling for diabetics? Now you get the answer. For more information on diabetes, please leave a message below or contact online doctor.
***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***