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.
dose it hurt /i am type 2 dietbetes and kidney failure level 2
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
Definetly will share this with my student viewers!