Blood pressure can make the kidneys work harder and worsen the disease. Drugs can be use to lower the blood pressure. Ask your doctor to see which one is right for you. You don't wanna take any type of blood pressure meds because it can hide symptoms of low blood sugar and it does not work with well with diabetics. Usually, the physician will prescribe ACE inhibitors for those with diabetes, kidney disease and high blood sugar. Even if your blood pressure is normal in the healthy range, controlling your blood pressure with medication can slow down kidney damage. (Remember that the pressure in the GLOMERULAR of the kidney is undergoing lots of pressure to filter your blood).
Blood glucose should be maintained with healthy food. Medication such as insulin may be provided by your health care provider depending on your situation. Most of all, checking blood sugars and maintaining it by keeping a record is recommended. That way, you will understand how the sugars are affected with exercise and diet.
To lower blood glucose and your blood pressure include the following: losing weight, less sodium or sale in the diet, avoiding alcohol and tobacco, and regular exercise. This is all part of maintaining a healthy way of life so your kidneys can work to the best of is ability without added pressure.
Last, but not least of all the self-cares is having regular check-ups. A microalbuminuria test of the urine is to assess how well the kidneys (As mention in previous posts). Further more, a diet of macroalbuminuria is a low-protein diet. Low protein is recommended because it can increase the workload on kidneys. Remember how we mentioned that albumin is a protein in the body that the kidneys try to retain. However, when the kidneys do not function properly, albumin leaks and becomes excreted in the urine. Therefore, a low protein diet can decrease protein loss and hopefully keep more protein in the blood.
Again with any of the treatments above, it is important to speak to your health care provider and what steps are best for you.
Citations:
Gross, J., De Azevedo, M., Silveiro, S., Canani, L., Caramori, M., & Zelmanovitz, T. (2005). Diabetic Nephropathy: Diagnosis, Prevention, And Treatment. Diabetes Care, 164-176. Retrieved February 12, 2015, from http://care.diabetesjournals.org/content/28/1/164.full
Bakris, G. (n.d.). Recognition, Pathogenesis, and Treatment of Different Stages of Nephropathy in Patients With Type 2 Diabetes Mellitus. Mayo Clinic Proceedings, 444-456.
Diabetic nephropathy. (n.d.). Retrieved February 12, 2015, from http://www.mayoclinic.org/diseases-conditions/diabetic-nephropathy/care-at-mayo-clinic/tests-diagnosis/con-20035589
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