Risk of developing an albumin excretion rate >30 mg per day in adults according to the FinnDiane study in individuals with type 1 diabetes and without chronic kidney disease (CKD) (orange) and the distribution of glycemic control (histogram) in patients with type 1 diabetes who develop microalbuminuria (Bars) (P.-HG The American Diabetes Association and National Kidney Foundation Guidelines for the Assessment of Kidney Disease Outcome Quality (NKF KDOQI) recommend identifying patients with diabetes by persistent ACR>=30 mg g-1 in men or women 135 136.
There is no defined cut-off point above which a definite risk of chronic renal failure can be considered, or below which the therapeutic effect of blood pressure control on the development of albuminuria in diabetic patients can be ignored. Cardiovascular disease is a serious complication associated with diabetes, and many international guidelines recommend goals for treating blood pressure below 140/90 mmHg. for people with diabetes.
Diabetes or hypertension can also hasten the progression of chronic kidney disease in those who already have chronic kidney disease. Diabetes and hypertension are the most common causes of chronic kidney disease leading to kidney failure. Another condition, such as diabetes or hypertension, usually causes kidney disease, so it is important to identify and treat the condition causing kidney disease.
You can protect your kidneys by preventing or controlling health conditions that cause kidney damage, such as diabetes and high blood pressure. It is also important to prevent disease and avoid situations that can cause or worsen kidney damage. The steps below can help keep your entire body, including your kidneys, healthy. Lifestyle changes can also help with high blood pressure, diabetes, and other problems that make chronic kidney disease worse.
Less sodium in your diet will help lower blood pressure and reduce fluid buildup in the body, which is common with kidney disease. Over time, your kidneys lose their ability to control sodium and water balance. If blood sugar levels remain high for many years, this damage gradually reduces kidney function.
High blood sugar caused by diabetes damages the blood vessels in the kidneys. Over time, diabetes can damage the heart, blood vessels, eyes, kidneys, and nerves. Diabetes increases the risk of kidney damage slowly, little by little, over many years and decades.
It can also lead to several end-stage renal diseases that require dialysis or transplantation. Problems at the End of Life Chronic kidney disease can progress to kidney failure when kidney damage is severe enough to require dialysis or a kidney transplant to control symptoms and prevent complications and death. If the kidneys fail to separate and the kidney disease is left untreated, serious health problems can occur that can lead to death.
Medical conditions such as hypertension and diabetes, which may have caused patients' kidneys to fail, may affect the transplanted kidney in the first place. Even removing the cause cannot prevent the progression of kidney damage. In this case, suddenly something happens, such as an infection such as pneumonia, but if you are completely healthy and healed quickly, kidney damage usually goes away.
Loss of kidney function can lead to a buildup of fluids or body waste, or electrolyte problems. The kidneys require adequate blood flow and intact blood vessels to remain healthy and functional, and diabetes and high blood pressure can affect the health of kidney blood vessels.
That's why you need regular medical checkups, even when you're in remission and have normal blood sugar levels, to make sure any new or existing complications can be monitored and treated properly. Remission of diabetes in people with type 2 diabetes means that blood sugar levels are healthy without the need to take any diabetes medication. Diets are not the only way to achieve remission in diabetic patients. Some of them have undergone bariatric or weight loss surgery.
The strongest evidence we have suggests that diabetes primarily leads to remission through weight loss. Weight loss may prevent prediabetes from progressing to type 2 diabetes, reduce the risk of cardiovascular disease, or cause partial remission in people with diabetes. If you are obese, your diabetes is more likely to go into remission if you lose a significant amount of weight—15 kg (or 2 stone 5 pounds)—as quickly and safely as possible after diagnosis. Remember that even a small weight loss, such as 3% or more of your original body weight, and maintaining it throughout your life can greatly reduce your risk of obesity-related complications such as diabetes and other diseases. cordial.
To understand how weight loss can help someone go into remission, we need to understand why obesity can lead to type 2 diabetes. A balance between health care and a healthy lifestyle is the only way to manage diabetes. People with diabetes can benefit from knowledge about the disease and treatment, dietary changes, and exercise to keep short-term and long-term blood glucose levels within acceptable limits.
It's important to be aware of diabetes and be actively involved in its treatment, as complications are less common and less severe in people with well-controlled blood sugar levels. It is widely believed that when people with diabetes strictly control their blood sugar levels, that is, keep their blood sugar levels within the normal range, they experience fewer complications, such as kidney or eye problems. Treatment for type 2 diabetes includes diet and physical activity, as well as lowering blood sugar levels and other known risk factors for damaging blood vessels. Obesity negatively affects major risk factors associated with chronic kidney disease, including blood lipids, blood pressure, and glycemic control, and leads to insulin resistance.
Dyslipidemia is another important risk factor for CKD in diabetes. Past periods of poor blood glucose control, even before diagnosis, may also have a long history in the kidney, and thus CKD risk may not be represented by current or recent HbA1c levels.
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