FreeMD® Diabetic Nephropathy Home Care

Diabetic Nephropathy

questions for doctor

Home Care

self monitoring

Underlying Cause

Diabetic Nephropathy Home Care

Home care for diabetic nephropathy includes:

Follow your diabetic diet.
Do not drink alcohol.
Stop smoking.
Avoid exposure to secondary smoke.
Follow an exercise plan developed with your doctor.
Get regular checkups for your diabetes, including eye and foot exams.
Monitor your blood sugar:

Check your blood sugar every day.
Keep a log of your results.
Notify your doctor if your blood sugar remains higher than usual.

If you have high blood pressure:

Learn how to take your blood pressure.
Check your blood pressure every day.
Keep a log of your results.

Weight loss if you are overweight
Take prescription medication as directed.
Patients should be advised to avoid nonsteroidal anti-inflammatory medications, aspirin, and other medications that are metabolized by the kidney. Acetaminophen can be used for pain because it is not metabolized by the kidneys.

Example of Sliding Scale Insulin Dosing

Glucose Reading	Regular Insulin Dosing
140 - 160	2 units, re-check glucose in 2 hrs
200 - 240	4 units, re-check glucose in 2 hrs
240 - 300	6 units, re-check glucose in 2 hrs
300 - 400	8 units, re-check glucose in 2 hrs
400 - 500	10 units, re-check glucose in 2 hrs
> 500	See doctor now!

Continue to Diabetic Nephropathy Home Care: Diabetes Diet

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Last Updated: Jun 6, 2009 References

Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD

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