Find A Diabetes Educator
A diabetes educator can teach you how to control your blood sugar. Your doctor can help you find a diabetes educator in your area. You can also use the American Association of Diabetes Educators online locator to find a diabetes education program in your area. Medicare and many private insurance policies will help pay for these visits.
How Is Diabetic Nephropathy Treated
Lowering blood pressure and maintaining blood sugar control are absolutely necessary to slow the progression of diabetic nephropathy. There are medications available which have been found to slow down the progression of kidney damage. They include:
- SGLT2 inhibitors including dapagliflozin , which helps control high blood sugar.ÃÃ
- Angiotensin converting enzyme inhibitors can help slow down the progression of kidney damage. Although ACE inhibitorsâ including ramipril , quinapril , and lisinoprilâ are usually used to treat high blood pressure and other medical problems, they are often given to people with diabetes to prevent complications, even if their blood pressure is normal.
- Angiotensin receptor blockers can often be given insteadÃÃ if you have side effects from taking ACE inhibitors
If not treated, the kidneys will continue to fail and larger amounts of proteins can be detected in the urine. Advanced kidney failure requires treatment with dialysis or a kidney transplant.
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Kidney Damage From Diabetes
Kidney damage from diabetes can occur in people with type 1 diabetes, type 2 diabetes, prediabetes, or any other condition that can cause hyperglycemia .
When poorly managed, these conditions can lead to consistently high blood glucose levels, which in turn can damage the blood vessels and nephrons in your kidneys.
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What Are The Risk Factors For Prediabetes
Many of the risk factors for prediabetes are similar to those for chronic kidney disease, such as:
- High blood pressure
- History of cardiovascular disease
- Overweight and sedentary lifestyle
- Having a family background that is African American, Alaska Native, American Indian, Asian American, Hispanic/Latino, or Pacific Islander
In addition to these shared risk factors, unique risk factors for prediabetes include:
- Having a family history of diabetes
- Giving birth to a baby weighing more than 9 pounds or being diagnosed with gestational diabetes .
If you have one of these risk factors, talk with your doctor about what testing is recommended for kidney disease and diabetes.
The Surprising Truth About Prediabetes
Its real. Its common. And most importantly, its reversible. You can prevent or delay prediabetes from developing into type 2 diabetes with simple, proven lifestyle changes.
Amazing but true: approximately 88 million American adults1 in 3have prediabetes. Whats more, more than 84% of people with prediabetes dont know they have it. Could this be you? Read on to find out the facts and what you can do to stay healthy.
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How Was The Covid
Thousands of volunteers took part in COVID-19 vaccine clinical trials. Clinical trials for the vaccines compared results between people who were vaccinated and people who were not vaccinated . Many different people took part in the clinical trials including people who are age 65 and older or who have a chronic health problem that would make them more likely to get very sick from COVID-19. Each clinical trial was made up of people of different:
- Ages
- Race or ethnicity
- Health status
Researchers do not yet know if there were any differences in how the vaccine worked in people with kidney disease compared to those without kidney disease.
Definitions Of Prediabetes Cardiovascular Disease And Ckd
Prediabetes was defined as the satisfaction of at least one of the following three conditions: 1) fasting plasma glucose level of 110125mg/dl , 2) glucose levels of 140199mg/dL on the 75-g oral glucose tolerance 2h after glucose consumption, or 3) HbA1C concentration of 5.76.4%. Estimated glomerular filtration rate was calculated using the CKD Epidemiology Collaboration equation . According to the National Kidney Foundation Kidney Disease Outcomes Quality Initiative, CKD was defined as an eGFR of < 60mL/min/1.73m2. After an overnight-fast, the subjects had a 75-g glucose challenge, and blood samples were collected at 0, 60, and 120min for oral glucose tolerance test . OGTT test was supervised and conducted by trained nurse. Serum glucose concentrations and HbA1c were measured using an automatic analyser . The incidence of cardiovascular disease was defined as at least one positive response to CVD-related questionnaire items, including diagnosis by a physician, treatment, or use of medications.
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What Is Diabetic Kidney Disease
Diabetic kidney disease is a type of kidney disease caused by diabetes.
Diabetes is the leading cause of kidney disease. About 1 out of 3 adults with diabetes has kidney disease.1
The main job of the kidneys is to filter wastes and extra water out of your blood to make urine. Your kidneys also help control blood pressure and make hormones that your body needs to stay healthy.
When your kidneys are damaged, they cant filter blood like they should, which can cause wastes to build up in your body. Kidney damage can also cause other health problems.
Kidney damage caused by diabetes usually occurs slowly, over many years. You can take steps to protect your kidneys and to prevent or delay kidney damage.
Watch a video about diabetes and kidney disease.
Diabetes And Chronic Kidney Disease
If you have diabetes, ask your doctor about kidney disease.
Chronic kidney disease often develops slowly and with few symptoms. Many people dont realize they have CKD until its advanced and they need dialysis or a kidney transplant to survive.
If you have diabetes, get your kidneys checked regularly, which is done by your doctor with simple blood and urine tests. Regular testing is your best chance for identifying CKD early if you do develop it. Early treatment is most effective and can help prevent additional health problems.
CKD is common in people with diabetes. Approximately 1 in 3 adults with diabetes has CKD. Both type 1 and type 2 diabetes can cause kidney disease.
- Kidney diseases are the 9th leading cause of death in the United States.
- Approximately 1 in 3 adults with diabetes has CKD.
- Every 24 hours, 170 people with diabetes begin treatment for kidney failure.
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What Are The Symptoms
The kidneys work hard to make up for the failing capillaries so kidney disease produces no symptoms until almost all function is gone. Also, the symptoms of kidney disease are not specific. The first symptom of kidney disease is often fluid buildup. Other symptoms of kidney disease include loss of sleep, poor appetite, upset stomach, weakness, and difficulty concentrating.
It is vital to see a doctor regularly. The doctor can check blood pressure, urine , blood , and organs for other complications of diabetes.
Longer Life With A Kidney Transplant Than Without One
It should be noted that the average life expectancy of someone on dialysis is only five years. Research has tended to favor a transplant over long term kidney dialysis. Transplant patients generally live longer than dialysis patients.
You will go through a major surgery, with a long recovery period. There is a possibility of transplant rejection. However, after the organ transplant, you may have more energy, fewer diet restrictions, and an overall better quality of life. Patients have fewer complications to report.
If you obtain your kidney for transplant from a living donor, you can expect to live anywhere from 12 to 20 years. If your kidney came from a donor who is deceased, then you can expect to be around for the next 8 to 12 years. If you can manage to have a kidney transplant before you end up on dialysis, then you could live 10-15 years longer than someone on dialysis.
Its possible that you may have to be on dialysis for a time while waiting on an organ for transplant. They will need to locate a good match for you whether it is from a deceased donor or from a living donor. This is due to being on dialysis for a long time can shorten the life of a new kidney after the transplant. Still, a transplant is preferred in most cases over dialysis.
For more information and frequently asked questions on pre-emptive transplantation, go to:
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More Information And Support About Kidney Disease
Talk with your diabetes team. They should be able to answer most of your questions. And were here to provide support and information when you need it too.
If you have more questions, or just want someone to listen, give our helpline a call. Youll be able to talk things through with highly trained advisors who have counselling skills and an extensive knowledge of diabetes.
The National Kidney Federation have kidney disease leaflets and can put you in touch with a local group. Kidney Care UK also offers resources and support including a telephone counselling service that you may find useful.
Kidney Research UK are dedicated to research into kidney disease. Weve been working together to identify the most important areas of future research, so that we can ultimately stop kidney disease in people with diabetes.
Kidney Damage Linked To Prediabetes
Prediabetes increases the risk of kidney damage and could be a target for early intervention to prevent chronic kidney disease , researchers concluded.
In a prospective cohort study of 1,261 middle-aged non-diabetic individuals from the Norwegian general population, a team led by Toralf Melsom, MD, PhD, of the University Hospital of North Norway in Tromsø, found that prediabetes was an independent risk factor for glomerular hyperfiltration and increased albuminuria, according to a report published online ahead of print in the American Journal of Kidney Diseases .
If a patient has borderline elevated glucose levels found by their primary physician they should start lifestyle changes with respect to diet and physical activity to preventing diseases like diabetes and kidney disease, Dr. Melsom said in a news release from the National Kidney Foundation , which publishes AJKD.
Previous longitudinal studies assessing the association between prediabetes and kidney function used eGFR to assess changes in GFR, but eGFR has low precision, especially in the higher range of GFRs, the authors pointed out. To overcome the limitations of eGFR, they measured GFR by iohexol clearance.
To our knowledge, no prior study of the general population has assessed the longitudinal association between prediabetes and mGFR, the authors wrote.
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What Causes Kidney Disease
One of the main jobs of your kidneys is to filter your blood. They get rid of extra fluid and waste products from your body through your urine.
High blood glucose levels can damage the small blood vessels and tiny filters in your kidneys. High blood pressure can also do this too. This can cause them to leak and not work as well. When this happens, abnormal amounts of protein from the blood can leave your body in your urine. This is often an early sign of kidney disease.
Higher Than Normal Blood Glucose Levels
Prediabetes is characterized by higher than normal blood glucose levels. This means the fasting blood glucose level is in the 100 to 125 milligrams per decilitre range, and the hemoglobin A1C level is between 5.7 and 6.4 percent. Pre-diabetes is also referred to as impaired glucose tolerance , or impaired fasting glucose .
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Prediabetes A Precursor To Kidney Disease
New York, NY Diabetic kidney damage may start much earlier than previously thought, according to a new study published in the National Kidney Foundations American Journal of Kidney Diseases.
Researchers discovered that fasting glucose and HbA1c levels consistent with prediabetes are independent risk factors for hyperfiltration in the kidneys and the presence of albumin in the urine both indicators of kidney damage. Hyperfiltration is an abnormality in the kidneys that, over time, can lead to progressive kidney damage and kidney failure.
Our research shows that the pathological process of kidney injury caused by elevated blood glucose levels starts in prediabetes, well before the onset of diabetes, said Dr. Toralf Melsom, PhD, MD, an Associate Professor and Senior Consultant in the Department of Nephrology at University Hospital of North Norway. To our knowledge, no prior study in the general population has found this longitudinal association between prediabetes and higher mGFR and hyperfiltration.
Globally, diabetes is the leading cause of kidney disease and kidney failure. Prediabetes is approximately twice as common as diabetes, affecting 20-35% of adults, according to the studys authors. About 45-50% of prediabetes patients advance to diabetes within 10 years.
This study makes a strong case for greater use of measured GFR, rather than estimated GFR, in clinical studies, particularly in patients with relatively well-preserved kidney function, Dr. Berns said.
Are You A Diabetic Heres What High Blood Sugar Levels Can Do To Your Kidney Heart And Brain
Diabetes is a complex, progressive disease that can lead to long-term complications if the sugar levels are not kept under control. As a diabetic, you may be aware about medicines, devices and remedies that can help you to control your sugar levels. But along with that you also need to understand what complications you may have to face if you fail to adhere to your medications and keep your blood sugar in check.
Dr Mitali Joshi, consultant at LifeSpan, highlights one such manifestation of type 2 diabetes called the Hyperosmolar Hyperglycemic Nonketotic Syndrome , a condition that can result in kidney failure, stroke and diabetic coma.
What is HHNS? How does it affect a diabetic? Is it an emergent condition?
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Switch: Kidney Disease Can Lead To Diabetes
HealthDay Reporter
TUESDAY, Dec. 26, 2017 — Kidney disease increases the risk for diabetes, a new study finds.
Medical experts already knew that the reverse is true — that diabetes increases the risk for kidney disease. The authors of the new study, though, found that kidney dysfunction can lead to diabetes — and, that a waste product called urea plays a role in the two-way link between the two diseases.
Urea comes from the breakdown of protein in food. Kidneys normally remove urea from the blood, but poor kidney function can lead to increased levels of urea.
The study involved the analysis of medical records over a five-year period for 1.3 million adults who did not have diabetes. About 9 percent had elevated urea levels, a sign of reduced kidney function. That’s the same rate as in the general population, according to the researchers.
People with high urea levels were 23 percent more likely to develop diabetes than those with normal urea levels, the study found. The results were published online recently in the journal Kidney International.
“The risk difference between high and low levels is 688 cases of diabetes per 100,000 people each year — means that for every 100,000 people, there would be 688 more cases of diabetes each year in those with higher urea levels,” said study senior author Dr. Ziyad Al-Aly. He’s an assistant professor of medicine at Washington University School of Medicine in St. Louis.
Top 12 Prediabetes Symptoms You Need To Know
Did you know that right now, your body could be sending you warning signs that your blood sugar is higher than normal, and you might not realize it? When your blood glucose levels are higher than normal, but not high enough to be diagnosed as diabetes, this is a condition known as prediabetes. So why is prediabetes a big deal? This is because 75% of people with prediabetes eventually develop full-scale type 2 diabetes even though prediabetes is fully reversible!
Statistics reveal that more than 88 million U.S adults live with prediabetes and 90% of them dont know they have it. Thats more than 1 in 3 adults! Or they simply brush off the symptoms as minor health problems sometimes for months and even years! But diabetes is anything but minor, and early diagnosis and treatment can mean the difference between living a long healthy life, and suffering from health problems like nerve damage, kidney disease, heart disease, stroke and blindness.
In todays video, were going to talk about the top 12 prediabetes symptoms. Make sure you watch till the end, because some of these symptoms will come as a real surprise! Also, well reveal the 7 steps anyone can take to reverse prediabetes. So lets get right into it. As always, this video is educational and does not constitute medical advice, we are not doctors.
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Prediabetes Flies Under The Radar
You can have prediabetes for years but have no clear symptoms, so it often goes undetected until serious health problems show up. Thats why its important to talk to your doctor about getting your blood sugar tested if you have any of the risk factors for prediabetes, which include:
- Being overweight
- Being 45 years or older
- Having a parent, brother, or sister with type 2 diabetes
- Being physically active less than 3 times a week
- Ever having gestational diabetes or giving birth to a baby who weighed more than 9 pounds
Race and ethnicity are also a factor: African Americans, Hispanic/Latino Americans, American Indians, Pacific Islanders, and some Asian Americans are at higher risk.
Ready to find out your risk? Take the 1-minute prediabetes risk test and be sure to share the results with your doctor.
When Diagnosed Early Stopping Diabetic Kidney Disease May Be Possible
Dear Mayo Clinic:
My father was recently diagnosed with diabetic kidney disease. Is there a chance this can be reversed, or will he have it for life? What changes, if any, should he be making to his diet?
Answer:
It is not uncommon for people who have diabetes to develop kidney problems. When diagnosed early, it may be possible to stop diabetic kidney disease and fix the damage. If the disease continues, however, the damage may not be reversible.
Diabetic kidney disease, also called diabetic nephropathy, happens when diabetes damages blood vessels and other cells in the kidneys. This makes it hard for them to work as they should. In the early stages, diabetic kidney disease has no symptoms. That’s why it is so important for people with diabetes to regularly have tests that check kidney function.
In later stages of the disease, as kidney damage gets worse, signs and symptoms do appear. They may include ankle swelling, test findings that show protein in the urine, and high blood pressure. Over time, diabetic kidney disease can lead to end-stage kidney disease.
If your father is in the early stages of diabetic kidney disease, there are several steps he can take to help protect his kidneys. First, it is critical to keep blood sugar as well controlled as possible. This not only helps the kidneys, but decreases the risk of other serious problems that can come from diabetes, such as blindness, heart attack and damage to the blood vessels and nerves.
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