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Why does the uremia that diabetic causes to be treated?

Hello, I am a nephrologist, said that a problem for you today: why diabetes caused by uremia to early for dialysis? Perhaps this is also a lot of patients in the treatment of nephropathy some problems, hope to help explain today.
Diabetic nephropathy is the most common complication of diabetes mellitus. Compared with patients with other renal diseases caused by hair uremia, diabetic patients with end-stage renal disease renal organ damage occurred earlier, the organ involved more and more serious injury, such as cardiovascular complications (as noted here: cardiovascular disease the main causes of death in patients with uremia) peripheral vascular disease, peripheral nerve and autonomic neuropathy. Retinopathy and gastrointestinal diseases, and the speed will gradually accelerate the progress of the complications. Clinically, diabetic retinopathy develops fastest in the first 1-2 years of dialysis treatment in diabetic nephropathy, and early treatment with dialysis is expected to slow down the progression of retinopathy.
Therefore, patients with uremia due to diabetic nephropathy, regardless of peritoneal dialysis or hemodialysis, should begin earlier than non diabetic nephropathy. If patients with obvious symptoms of uremia, heart failure, sodium retention is difficult to control, the clinical manifestations of retinopathy, it should begin dialysis treatment as soon as possible, so as to reduce renal damage of organs, prolong the life of patients, improve the quality of life.

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