Effects of health management on early diabetic nephropathy
10.3760/cma.j.issn.1674-0815.2012.02.006
- VernacularTitle:健康管理对早期糖尿病肾病的影响
- Author:
Jin ZHAO
;
Chuanhong QIU
;
Wei CAI
- Publication Type:Journal Article
- Keywords:
Diabetic nephropathies;
Risk factors;
Health management
- From:
Chinese Journal of Health Management
2012;06(2):92-95
- CountryChina
- Language:Chinese
-
Abstract:
objective To investigate the effects of health management on the progress of early diabetic nephropathy (DN).Methods A total of 98 patients with early stage DN were randomly assigned to the study group (n =49 ) and the control group (n =49 ).Questionnaire survey was performed,and urinary albumin to creatinine rate (ACR),body weight,fasting glucose,postprandial 2 h glucose,blood pressure,and lipid profiles were measured.The patients of the study group received health and disease management for 3 years; however,those of the control group received no additional intervention other than essential treatment. At 3 years, all the participants completed the questionnaires and above-mentioned measurements.Results In comparison with the control group,ACR of the study group was significantly decreased at 3 years ( P ＜ 0.05 ).In the control group,urinary protein was found in 15 patients and 3participants developed end-stage renal disease.However,neither urinary protein nor end-stage renal disease was found in the study group.Risk factors of DN,including high blood glucose,high blood pressure,and high cholesterol,were significantly decreased in the study group (all P ＜ 0.05 ).Conclusion Early effective health management of DN may contribute to decreased risk factors of renal disease and delayed disease progression.
