SECRET FACTS ABOUT DIABETES DISEASES
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.
2. When your kidneys are damaged, they
can’t filter blood like they should, which can cause wastes to build up in your
body. Kidney damage can also cause other health problems.
3. 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.
What are other names
for diabetic kidney disease?
·
Diabetic kidney
disease is also called;
·
DKD
·
chronic kidney
disease
·
CKD
·
kidney disease of
diabetes or diabetic nephropathy.
How
does diabetes cause kidney disease?
High blood
glucose, also called blood sugar, can damage the blood vessels in your kidneys.
When the blood vessels are damaged, they don’t work as well. Many people with
diabetes also develop high blood pressure, which can also damage your kidneys.
Learn more about
high blood
pressure and kidney disease .
What increases my chances of
developing diabetic kidney disease?
Having
diabetes for a longer time increases the chances that you will have kidney
damage. If you have diabetes, you are more likely to develop kidney disease if
your
blood
glucose is too high
blood
pressure is too high
African
Americans, American Indians, and Hispanics/Latinos develop diabetes, kidney
disease, and kidney failure at a higher rate than Caucasians.
You are also
more likely to develop kidney disease if you have diabetes and
smoke
don’t follow
your diabetes eating plan
eat foods
high in salt
are not
active
are
overweight
have heart
disease
have a
family history of kidney failure
How can I tell if I have diabetic
kidney disease?
Most people
with diabetic kidney disease do not have symptoms. The only way to know if you
have diabetic kidney disease is to get your kidneys checked.
Health care
professionals use
blood and
urine tests to check for diabetic kidney disease. Your health care professional
will check your urine for albumin and will also do a blood test to see how well
your kidneys are filtering your blood.
You should
get tested every year for kidney disease if you
have type 2
diabetes
have had
type 1 diabetes for more than 5 years
How can I keep my kidneys healthy if
I have diabetes?
The best way
to slow or prevent diabetes-related kidney disease is to try to reach your
blood glucose and blood pressure goals. Healthy lifestyle habits and taking
your medicines as prescribed can help you achieve these goals and improve your
health overall.
Reach your
blood glucose goals
Your health
care professional will test your A1C . The A1C is a blood test that shows your
average blood glucose level over the past 3 months. This is different from the
blood glucose checks that you may do yourself. The higher your A1C number, the
higher your blood glucose levels have been during the past 3 months.
The A1C goal
for many people with diabetes is below 7 percent. Ask your health care team
what your goal should be. Reaching your goal numbers will help you protect your
kidneys.
To reach
your A1C goal, your health care professional may ask you to check your blood
glucose levels. Work with your health care team to use the results to guide
decisions about food, physical activity, and medicines. Ask your health care
team how often you should check your blood glucose level.
Control your
blood pressure
Blood
pressure is the force of your blood against the wall of your blood vessels.
High blood pressure makes your heart work too hard. It can cause heart attack,
stroke, and kidney disease.
Your health
care team will also work with you to help you set and reach your blood pressure
goal. The blood pressure goal for most people with diabetes is below 140/90 mm
Hg. Ask your health care team what your goal should be.
Medicines
that lower blood pressure can also help slow kidney damage. Two types of blood
pressure medicines,
ACE
inhibitors and ARBs , play a special role in protecting your kidneys. Each has
been found to slow kidney damage in people with diabetes who have high blood
pressure and DKD. The names of these medicines end in –pril or –sartan. ACE
inhibitors and ARBs are not safe for women who are pregnant.
Develop or
maintain healthy lifestyle habits
Healthy
lifestyle habits can help you reach your blood glucose and blood pressure
goals. Following the steps below will also help you keep your kidneys healthy
Stop
smoking.
Work with a
dietitian to develop a diabetes meal plan and limit salt and
sodium.
Make
physical activity part of your routine.
Stay at or
get to a healthy weight.
Get enough
sleep. Aim for 7 to 8 hours of sleep each night.
Learn more
about these tips to manage diabetes.
Take
medicines as prescribed
Medicines
may be an important part of your treatment plan. Your health care professional
will prescribe medicine based on your specific needs. Medicine can help you
meet your blood glucose and blood pressure goals. You may need to take more
than one kind of medicine to control your blood pressure.
How can I cope with the stress of
managing my diabetes?
Managing
diabetes isn’t always easy. Feeling stressed, sad, or angry is common when you
are living with diabetes. You may know what to do to stay healthy but may have
trouble sticking with your plan over time. Long-term stress can raise your
blood glucose and blood pressure, but you can learn ways to lower your stress.
Try deep breathing, gardening, taking a walk, doing yoga, meditating, doing a
hobby, or listening to your favorite music. Learn more about healthy ways to
cope with stress .
Does diabetic kidney disease get
worse over time?
Kidney
damage from diabetes can get worse over time. However, you can take steps to
keep your kidneys healthy and help slow kidney damage to prevent or delay
kidney failure . Kidney failure means that your kidneys have lost most of their
ability to function—less than 15 percent of normal kidney function. However,
most people with diabetes and kidney disease don’t end up with kidney failure.
If your
kidneys become damaged as a result of diabetes, learn how to
manage
kidney disease .
References
[1] Centers
for Disease Control and Prevention.
Chronic Kidney Disease in the United States, 2019. Atlanta, GA: US Department of Health and Human Services. Centers for Disease Control and Prevention; 2019.
Diabetes is a slow killer with no known curable treatments.
However, its complications can be reduced through proper awareness and timely treatment. Three major complications are related to blindness, kidney damage and heart attack.
written by kancysommy
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