This is not alarmist. While you are immersed in the satisfaction of "blood sugar control is quite good," a silent "killer" may be harming your health—it isDiabetic Nephropathy。

Diabetic nephropathy, simply put, isChronic kidney disease caused by diabetesIn China, approximately20%-40%Diabetic patients are troubled by it, and it has become a leading cause ofThe primary cause of uremia[1]. Even more alarmingly, compared to people with diabetes who do not have kidney disease,Patients with combined diabetic nephropathy have a significantly increased mortality rate[2].

Once the kidneys are damaged, the condition is often irreversible. However, early detection and scientific management can effectively delay its progression. Unfortunately, many individuals with diabetes often fall into the followingFour Major Cognitive Misconceptionsthus missing the precious "kidney protection" golden period!

Misconception 1: No edema, no discomfort, means the kidneys are fine

TruthEarly diabetic nephropathy is very "silent" and may have no symptoms at all! It is only when symptoms appear thatAnkle edema, fatigue, foamy urine (proteinuria)At that time, renal function may have already been impaired by more than half.Regular screeningIt is the only method for early detection.

Misconception 2: Focusing only on blood sugar without checking urine and kidneys

TruthControlling blood sugar is fundamental, butFocusing solely on blood sugar is far from sufficient.Regular check-upsUrine Albumin-to-Creatinine Ratio (UACR)和Serum creatinine (estimated glomerular filtration rate eGFR)is the gold standard for assessing kidney damage. It is recommended that all patients with type 2 diabetes at diagnosis and those with type 1 diabetes for more than 5 years undergo this test at least once a year.

Misconception Three: Fear of Kidney Damage from Medication, Refusing to Take Medication

TruthOn the contrary! Standardized use is beneficial.Renal protective effectHypoglycemic drugs such as SGLT2 inhibitors and GLP-1 receptor agonists, as well as antihypertensive drugs such as ACE inhibitors or ARBs, are effective in delaying the progression of kidney disease.Core means。Self-discontinuation or switching of medication is the greatest harm to the kidneys.

Misconception Four: Diet control means starving oneself and avoiding meat

TruthIncorrect dietary control, such as extreme dieting or avoiding protein, can lead to malnutrition and increase the burden on the kidneys. The correct "kidney-protective" diet should be:

• High-quality low-proteinUnder the guidance of a doctor or nutritionist, consume an appropriate amount of high-quality protein such as fish, eggs, milk, and lean meat.
• Strict Salt RestrictionDaily salt intake <5g to reduce edema and hypertension.
• Beware of High Potassium and High PhosphorusPatients in the middle and advanced stages need to restrict high-potassium and high-phosphorus foods such as bananas, nuts, and animal offal.

Kidney Protection Action Checklist, Starting Today

1. Regular check-upsGet checked at least once a year.Urinalysis, UACR, Serum Creatinine。
2. Comprehensive ComplianceStrictly control the "three highs"Blood sugar, blood pressure, blood lipids。
3. Standardized MedicationUse medications with cardiorenal protective effects as prescribed by the doctor.Do not discontinue medication on your own.。
4. Healthy LivingLow-salt diet, reasonable protein intake, smoking cessation and alcohol restriction, moderate exercise, weight control.
5. Use with CautionAvoid the misuse of nonsteroidal anti-inflammatory drugs such as ibuprofen certain antibiotics or health supplements with unknown ingredients consult a doctor before using any medication

RememberYour kidneys work silently every day. Diabetic nephropathy is frightening, but it can be prevented and controlled. The key lies inEarly detection, early interventionAvoid cognitive misconceptions and use scientific methods to build a protective umbrella for the kidneys!