Dec
2

Ben on Dialysis

Posted by Kidney Experts Comments (3)

A day in the life of dialysis patient Ben Gray.

Categories: Kidneys

3 Responses to “Ben on Dialysis”

  1. ROBERT MILLER says:

    dose it hurt /i am type 2 dietbetes and kidney failure level 2

  2. 365 Days Without Sugar says:

    What is diabetic kidney disease?

    Long-standing diabetes causes changes in small blood vessels that can lead
    to damage of the kidneys. This damage can result in severe kidney failure.

    Subtle damage to the kidneys can start within a year or so of Type 1
    diabetes, and can be present at diagnosis in Type 2, but it usually takes 5
    to 10 years to become a noticeable problem.
    Who gets diabetic kidney disease?

    There are wide differences in estimates of how many people with diabetes
    will progress to having diabetic kidney disease - from 6 to 27 per cent of
    people with Type 1 diabetes, to 25 to 50 per cent of Type 2.
    Poor glucose control and even modestly high blood pressure can increase
    your risk of making kidney disease worse.

    In Type 2 diabetes, people from an Asian or Afro-Caribbean origin are twice
    as likely to develop diabetic kidney disease.

    What are the symptoms?

    There are no symptoms when diabetic kidney disease first develops. Later,
    the following signs of decreased kidney function are:

    fatigue
    nausea and vomiting
    itchy skin
    a metal taste in the mouth
    heartburn
    swelling in the limbs and/or eyelids due to the build-up of fluid in the
    tissues (oedema).

    What problems does diabetic kidney disease cause?

    The kidneys are essential organs:

    they filter and eliminate the waste products of metabolism
    they have a central role in controlling blood pressure and fluid balance in
    the body they produce the key hormone, erythropoietin, that stimulates the
    bone marrow to manufacture red blood cells.

    Diabetic kidney disease is the most common cause of kidney failure in the
    UK.

    People with very poor kidney function require some form of artificial
    kidney support (dialysis) or a kidney transplant.
    The increasing numbers of people with Type 2 diabetes has meant the demand
    for these facilities has been steadily climbing for several years. Because
    the kidneys have a central role in controlling blood pressure, it’s common
    for people with diabetic kidney disease to have raised blood pressure.

    High blood pressure accelerates the decline in kidney function in
    nephropathy – in other words the two problems multiply each other’s effect.
    By lowering blood pressure, the rate of progression of diabetic kidney
    disease can be slowed down.

    A target blood pressure of 130/80mmHg is recommended for diabetic patients
    with kidney disease.

    How is diabetic kidney disease diagnosed?

    The kidney filtering system normally ensures proteins are kept almost
    completely out of urine. In diabetic kidney disease, these filters become
    leaky and start to let protein through.
    If protein is found in your urine, diabetic kidney disease is likely to be
    present.

    A diagnosis is made by measuring the amount of the protein albumin in the
    urine. The urine sample is usually taken from the first urine passed in the
    morning.

    A value below 20 milligrams (mg) is normal.
    A value between 20 and 200mg is called microalbuminuria (the beginning of
    kidney disease).
    A value above 200mg is called proteinuria (a more advanced stage of
    diabetic kidney disease).
    Another way to assess albumin loss in the urine is to calculate the
    albumin:creatine ratio in a first-pass morning urine sample.
    If this ratio is more than 2.5mg/mmol in men or 3.5mg/mmol in women then
    it’s regarded as significant and could require tratment with ACE inhibitors
    or angiotensin II antagonists.
    Microalbuminuria is not a harmless stage that can be ignored until it
    develops into more advanced kidney disease. People with microalbuminuria
    are two to four times more likely to develop coronary heart disease.

    Checking urine for albumin is an important part of diabetes management that
    should be done at least annually. Test kits are now available that allow
    quick checks to be done in the GP’s surgery.
    What are the risk factors?

    There is an increased risk of diabetic kidney disease:
    with poor blood sugar control, ie levels are too high for too much of the
    time.

    if you smoke
    if you’re male
    if there’s some protein in your urine
    if you have high blood pressure
    the older your are
    the longer you’ve had diabetes
    if you have raised levels of cholesterol and fats (triglycerides) in the
    blood
    if you already have diabetic eye disease (diabetic retinopathy).
    This list has some things in common with that for diabetic retinopathy.

    Read more:
    http://www.netdoctor.co.uk/diseases/facts/diabetickidneydisease.htm#ixzz2ZTt4M6dM

    #diabetes #highbloodpressure #impotence #dialysis
    #365dayswithoutsugar 

  3. Cassia Hill says:

    Definetly will share this with my student viewers! 

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