Diabetes:Life Expectancy and Treatment

Diabetes is the leading cause of End Stage Renal Failure, accounting for 44% of new cases of dialysis. Can the patients' life expectancy be prolonged by dialysis? What is the accurate life expectancy of people with Diabetes on dialysis?


In fact, there is no a general life expectancy for it is determined by many factors. However, dialysis can bring more risks to patients with Diabetes. In other words, their mean life is shorter than those without Diabetes.


1. The patients with Diabetes are usually accompanied by cardiovascular diseases. Once CCr is below 10~15ml/min, it is hard to control their blood pressure. Dialysis can cause frequent fluctuation of blood pressure for reduced blood volume, hyperfiltration etc, thus aggravating cardiovascular diseases.


2. For vascular diseases, the arteriovenous fistula is susceptible to fail. This will certainly impair their blood vessels.


3. Diabetes is usually complicated with autonomic neuropathy. Therefore, hypotension is commonly seen among the patients on dialysis.


Treatment for Diabetics--We suggest you to use Micro-Chinese Medicine first. Micro-Chinese Medicine could be targeted at the damaged renal tissue directly through physical osmosis. In the process of treating kidney disease, the active substances of Micro-Chinese Medicine play the following effects mainly: first, dilate the blood vessels to improve the partial microcirculation of kidney. Second, anti-inflammation. Third, anticoagulation, anti blood viscosity, and prevent the thrombus from formation. Forth, degrade the formation of extracellular matrix (ECM). So, the Micro-Chinese Medicine realizes the three big purposes of block, repair, and restore. As long as the damaged renal tissue can be repaired fully, satisfied therapeutic effects can be achieved.

Natural Remedy for Diabetes

Diabetes is a systemic disorder, which can involve the organs and systems through the whole body such as feet, eyes, kidney, skin. When foamy urine, swelling feet&legs occur, it may imply the kidney has been involved.

When the nephrons fail to work adequately, the proteins will pass through the filteration membrane in kidney and end up in urine. In early stage of Diabetes Kidney Disease, the patients only present with a small amount


Insulin is commonly used to control blood glucose level in Diabetes. However, long-term insulin use can cause a series of side effects on body such as weight gain, skin infections, ametropia etc. A natural remedy will be recommended to the patients with Diabetes.


Micro-Chinese Medicine Osmotherapy has been applied to treat Diabetes and has showed a remarkable curative effect. Micro-Chinese Medicine Osmotherapy is an innovative application of traditional Chinese medicine (TCM). The effective ingredients are mainly composed of herbs high in nutrients and antioxidants. It plays the following roles in treating Diabetes:


1. It is extremely beneficial to optimize serum lipids by lowering LDL and raising HDL.


2. It can stimulate insulin secretion thus lowering blood glucose level

3. Reduce glycated hemoglobin level


4. It can reduce serum cholesterol and low density lipoprotein


5. It can provide essential nutrients such as vitamin, amino acid etc. So it can relieve fatigue, stress, general weakness etc.


After the above systemic treatment, the blood glucose level will be controlled very well and the patients will avoid developing other complications of Diabetes such as Diabetic Foot, Diabetic Nephropathy etc.


Diabetes is a chronic disease. Besides a proper treatment, the patients should also pay more attention daily care. Here some home remedies will be recommended to the patients.


1. The patients should eat at least 300 grams of the following fruits including tomatoes and oranges. However, if they have renal damage, they should remove oranges from their diet.


2. They should include bitter melon in their diet. It can keep the level of blood glucose in control and benefit the management of the disease.


3. One home remedy is also effective in controlling blood glucose level. The patients can put some black raisins in water for a night. Next morning strain the water and drink the clear water.

Nephrotic Syndrome: Are You Sick of Hormone Side Effects on Your Children

Nephrotic Syndrome can occur at any age among children, but it is most common between the ages of 1.5 and 5 years. It can damage the filters in kidneys thus causing protein in urine. If uncontrolled, it is very likely to progress into Chronic Kidney Disease and finally Renal Failure. Therefore, the parents should have their children treated effectively as early as possible.


Hormone is mainly used to treat Nephrotic Syndrome in children. Mostly, symptoms can relieve after a period of hormone treatment. However, when the dosage of hormone is reduced, the disease is at high risk of relapsing. What’s worse, long-term hormone use has huge side effects on children.


Hormone can suppress the bone growth and cause osteoporosis, which can prevent children’s development and growth. Therefore, many children may have short stature.


The parents may find their children have mental changes. The children are not able to control their own moods. That is because hormone can stimulate the nerves system.


Infections are very commonly seen in children with Nephrotic Syndrome who keep a long-term hormone therapy. Hormone can suppress the immunity. As a result, the virus and bacteria is more likely to invade into the body.

In addition, moon-shaped faces, sugar urine and even Diabetes etc can be seen among children.


To make the children develop and growth healthily like other children, many patients are seeking for a therapy free from side effects.


In China, traditional Chinese medicine (TCM) is used to treat the disease. TCM originates ancient China. Through thousands of years’ development, its curative effects have been enhanced significantly with the help of modern diagnosis and treatment technology.


The integrants in TCM are mainly natural herbs, minerals, parts of animal bones etc. Every formula is composed of various kinds of herbs in certain dosages. This can guarantee the effectiveness and safety of the medicines.

Nephrotic Syndrome:Nursing Care Tips in Daily Life

The following measures to improve the absorption of calcium:

1. Vitamin D can promote the absorption of calcium in intestinal tract. They can have some foods rich in vitamin D.

2. Proteins are beneficial to the absorption of calcium. However, for the patients with Nephrotic Syndrome should limit protein intake strictly. Therefore, they can keep proper intake of high-quality protein supply.

3. The 7-dehydrocholesterol in skin can convert to vitamin D thus promoting the bone development. Therefore, the patients with Nephrotic Syndrome on hormone should often bask in the sun.

4. Limit the intake of foods high in fat because the non-esterified fatty acid can combine with calcium thus decreasing the calcium level in body.

5. Excess alcohol and nicotine can affect the absorption of calcium. Therefore, the patients should quit smoking and drinking.

Nursing Care for Patients with Nephrotic Syndrome in Daily Life:

* Rest and activity: If the patients experience severe anasarca and even ascites, they must stay in bed and keep a reclining posture. The patients should take systemic joint motions with the help of nursing personnel to prevent anchylosis and spasm as well as thrombus formation. However, if the patients are complicated with high blood pressure, they should limit their activity. After the swelling relives, they can take moderate indoor activity. When the protein in urine is less than 2g/d, they can take proper outdoor activity, but they should avoid intense activities like running, jumping, lifting heavy things and so on.


* Nursing care on diet: The patients with Nephrotic Syndrome should manage their diet with strict restrictions. The diet should improve their nutrition condition, but does not cause excess burden to their kidneys.


 Protein: High protein intake can cause much burden to their kidneys. Therefore, low-protein diet is recommended to the patients with Nephrotic Syndrome. High quality protein refers to the animal protein rich in essential acid amino. The patients with Nephrotic Syndrome should keep their protein intake with 1g/ (Kg.d). However, when they suffer Renal Insufficiency, they should adjust their protein intake based on the creatinine clearance rate.


 Calorie: The patients with Nephrotic Syndrome should keep adequate calorie supply and it should not less than 126~147 KJ/ (kg.d).


 Fat: To relieve hyperlipidaemia, the patients with Nephrotic Syndrome should reduce the foods abundant of saturated fatty acid like animal fat and should have more foods with high polyunsaturated fatty acid such as vegetable oil and fish oil and foods rich in soluble fiber like oat.

Nursing Intervention for Nephrotic Syndrome

Nephrotic Syndrome is commonly seen among preschool children. It is featured with an amount of protein in urine and swelling. In severe case, for severe swollen legs, the children may not be able to walk or stand for too long. So, how to relieve the swelling?
　　

1. Rest and activity

　　
If the patients with Nephrotic Syndrome have serious swelling, they are recommended to stay in bed until the swelling eliminates.

　　
2. Diet

　　
* The patients should have a tight limitation of foods high in proteins as excessive protein intake can aggravate proteinuria. However, as Nephrotic Syndrome is complicated with hyperlipemia, the patients should keep a certain amount of quality(1g/kg per body weight) protein intake such as fish, egg white, milk, lean meat, etc.

　　
* They are suggested to reduce daily salt intake to 3~5 g. Also, it is necessary for them to regulate the intake based on the edema degree and blood sodium concentration.

　　
* As for hyperlipemia, the patients should reduce the consumption of foods loaded in saturated fatty acid for it can increase the cholesterol concentration.

　　
* As the patients limit the intake of proteins, it is very likely to cause malfunction. To guarantee sufficient energy, the patients with Nephrotic Syndrome should keep ample calorie intake.

　　
* Limiting water and salts intake is an important part in nursing intervention of the disease. Extra salt intake can increase the retention of sodium and fluid, thus aggravating edema.

　　
3.Skin care

　　
Serious edema stretches the skin and eventually is likely to cause skin injury. Therefore, the patients should avoid skin trauma.

　　
In addition, weak immunity renders the patients at high risk of infections. It is very important for the patients to keep away from trigging factors of infections.

　　
If the patients with Nephrotic Syndrome are in remission, the above nursing interventions will reduce the relapse of the disease significantly.

　　

Treatment for FSGS in Nephrotic Syndrome

FSGS in Nephrotic Syndrome is an difficult condition to treat. Conventionally, the patients mainly rely on hormone,immunosuppressive agents and cytoxic drugs to control blood pressure, cholesterol and heavy protein loss in urine etc. Some people will have remission after a period of treatment and return a normal life. However, it is susceptible to relapse. When they reduce hormone dosage or encounter infections, it will flare again. Besides these conventional treatments for FSGS in Nephrotic Syndrome, is there a better therapy for the condition.

FSGS is medical condition, in which the immune system attacks the kidney filtering system mistakenly.

Micro-Chinese Medicine Osmotherapy play the following roles in treating FSGS.

1. It can degrade the immune deposits in glomeruli and make them dissolve in blood. Finally, the immune deposits will be filtered out of body through systemic circulation.

2. It can regulate immune system and suppress the abnormal immune response. Hence, it can prevent the formation of immune complexes again.

3. The effective ingredients can activate the DNA replication of impaired kidney tissues and cells, thus promoting the regeneration of new renal tissues and cells. As a result, the renal function will have a remarkable improvement.
However, Micro-Chinese Medicine Osmotherapy can not eliminate the circulatory immune complexes in blood. For this part of harmful substances, blood filtration is needed to remove them out of body.


Immunotherapy can suppress the inflammatory response effectively and rapidly. Therefore, it can stop further damage to renal functional cells and tissues.



It can clear up the immune deposits in kidneys and immune complexes in blood by the combination application of Micro-Chinese Medicine Osmotherapy and blood purification techniques. Hence, it can eliminate the inducing causes of inflammatory response in kidneys.



It aims at controlling symptoms by restoring the impaired renal tissues and cells. Therefore, the patients' renal function will have a significant improvement.



It can rebuild the patients' immune system and recover the normal immune function. Hence, it can prevent immune injury to kidneys again. In this way, it stop the relapse of the disease again.

How to Treat Edema of Nephrotic Syndrome

Edema is a common complication of Nephrotic Syndrome. In serious case, the fluid may collect in lung, blood vessels and every part in body, which can cause difficult breath and even heart failure.and it is attributable to two causes:

Firstly, the malfunctioned kidney fail to filter extra fluid and sodium from blood, thus leading to retention of fluid and sodium.


Secondly, the filtering system is damaged. Thus, the protein leak into urine and cause low protein level in blood. The fluid in blood filter into tissues, leading to edema.


Treatment


1.Limiting intake of salts and fluid is an important part in relieving edema. The patients are recommended to reduce salts intake to 3~5 g/d. Also, they need to regulate the salt intake based on the edema degree and potassium concentration in blood.


2. Usually, diuretic drugs are prescribed to the patients. They can promote the secretion of fluid, thus relieving retention of fluid and sodium.


3.If the patients suffer from serious edema, they are recommended to stay in bed until edema disappears.


4. As edema is very likely to cause high blood pressure or aggravate it, the patients are usually prescribed with ACEI and ARB drugs to control blood pressure. Also, these drugs has certain effect in preserving renal function.


5.Edema is attributable to heavy protein loss in urine. High protein intake can increase the production of urea to put more strain on kidney. The patients with Nephrotic Syndrome are recommended to limit protein intake to 1 g/kg per body weight.


6. Hormone and immunosuppressive drugs can suppress the fierce immune inflammatory response to restrict the leakage of protein into urine. Therefore, they can relieve edema to some extent.


The therapy for edema should be aiming at restoring the impaired kidney and rebuilding the structure of filtering system. If these treatment goals are achieved, the edema and relative symptoms of Nephrotic Syndrome will disappear gradually.