World Kidney Day: It is ideal to keep the BP less than 130/80 mmHg or even at 120/70 mmHg, if there is already some evidence of kidney involvement.(Getty Images/iStockphoto)
World Kidney Day: It is ideal to keep the BP less than 130/80 mmHg or even at 120/70 mmHg, if there is already some evidence of kidney involvement.(Getty Images/iStockphoto)

World Kidney Day: How to prevent diabetic kidney disease

World Kidney Day: This first stage of diabetic kidney disease (DKD) is called microalbuminuria, and at this stage small amounts of albumin begin to leak into the urine.
By Dr. V. Mohan | Hindustan Times, Delhi
UPDATED ON MAR 14, 2019 10:27 AM IST

There are around 72 million people with diabetes in India and these numbers are expected to increase to 134 million in the next 10-15 years. Uncontrolled diabetes can affect many organs and the kidney is one of the most serious of these complications. On World Kidney Day, its time we start paying attention to this issue.

After 15 to 20 years of having diabetes, nearly a third of people with the condition develop kidney complications. Diabetes mellitus is the most common cause of chronic kidney disease and kidney failure in the world. Therefore, it is essential that all clinicians understand how to appropriately screen patients for diabetic kidney disease with a focus on prevention of kidney diseases, and if is already present, to try to slow down its progression.

Stages of diabetic kidney disease

This first stage of diabetic kidney disease (DKD) is called microalbuminuria, and at this stage small amounts of albumin begin to leak into the urine. As the disease progresses larger quantities of albumin leak into the urine. This stage is called macroalbuminuria or proteinuria. Slowly the kidneys’ filtering capacity begins to drop and the body begins to retain various waste products as filtration falls.

As kidney damage develops further, the blood pressure rises and this further damages the kidney. After months or years, the DKD may progress to end stage renal disease (ESRD), which requires either a kidney transplant or regular dialysis.

What should one do to prevent diabetic kidney disease (DKD)?

Blood glucose control

If the diabetes is detected early and treated aggressively, it is possible to prevent diabetic kidney disease in most patients. One must aim to keep the glycated haemoglobin (HbA1c) below 7% at all times.

Blood pressure control

It is ideal to keep the BP less than 130/80 mmHg or even at 120/70 mmHg, if there is already some evidence of kidney involvement.

Avoid nephrotoxic agents

It is important to avoid medicines that can affect the kidney eg., pain killers like NSAID drugs and certain antibiotics. Contrast dyes used for doing CT Scans can also affect the kidney.

One should also treat any urinary or bladder or kidney infections aggressively. Finally, one should drink enough water and keep oneself well hydrated.

Dietary factors in the prevention and control of diabetic kidney disease:

1.One may prevent or delay health problems from chronic kidney disease (CKD), by eating the right foods and avoiding foods high in sodium, potassium, and phosphorus.

2.Protein foods such as meat and dairy products break down into waste products that healthy kidneys remove from the blood. When one takes too much protein, ie., far more than the body needs, one may put an extra burden on the kidneys and cause kidney function to decline faster.

3.Those with high blood pressure should limit their daily sodium intake to no more than 1,500 mg. Choosing sodium-free or low-sodium food products will help. Alternative seasonings such as lemon juice, salt-free seasoning mixes and hot pepper sauce can help people reduce their salt intake.

4.When kidneys are damaged, potassium builds up in the blood and may cause serious heart problems. Potassium is found in many fruits and vegetables and hence if instructed by the dietician these may have to be curtailed.

5.People with advanced chronic kidney disease may need to limit their fluid (water) intake because damaged kidneys can’t remove the extra fluid.

In addition to diet, other lifestyle modifications should be initiated to control the progression of kidney disease.

Physical activity helps to use the insulin in our body. Maintaining an ideal body weight helps to maintain blood glucose levels, and losing weight to achieve ideal body weight benefits to lower blood sugar levels.

Quitting smoking and using tobacco in any form is essential to prevent all complications of diabetes. Smoking increases the risk for many associated illnesses, and can also increase the risk for kidney failure.

Dr. V. Mohan, Chairman of Dr. Mohan’s Diabetes Specialities Centre, Chennai

Follow more stories on Facebook and Twitter

SHARE THIS ARTICLE ON
Close
Representational Image(Unsplash)
Representational Image(Unsplash)

Here's how green tea is beneficial for children with Down syndrome

ANI, Washington Dc
PUBLISHED ON MAR 06, 2021 07:54 PM IST
According to a new study, green tea supplements modulate facial development in children with Down syndrome.
Close
Representational Image(Unsplash)
Representational Image(Unsplash)

Here's how unstable work-life linked to future mental health problems in youth

ANI, Washington Dc
PUBLISHED ON MAR 06, 2021 07:41 PM IST
A new study has found that a precarious, unstable initiation by young people to working life is associated with poorer future mental health.
Close
Type 2 diabetes could be prevented through regular exercise, says study(Photo by Anupam Mahapatra on Unsplash)
Type 2 diabetes could be prevented through regular exercise, says study(Photo by Anupam Mahapatra on Unsplash)

Type 2 diabetes could be prevented through regular exercise, says study

ANI
PUBLISHED ON MAR 06, 2021 06:23 PM IST
According to a new study, regular physical activity or exercising is a safe diabetes prevention strategy for people, especially those residing in relatively polluted regions.
Close
Should you eat dates before bed or empty stomach to reap maximum health benefit?(Photos by Saj Shafique and Mona Mok on Unsplash)
Should you eat dates before bed or empty stomach to reap maximum health benefit?(Photos by Saj Shafique and Mona Mok on Unsplash)

Should you eat dates before bed or empty stomach to reap maximum health benefit?

By Zarafshan Shiraz
UPDATED ON MAR 06, 2021 02:54 PM IST
  • Being high in fiber and sugar content, dates or khajur often leave people speculating about whether they should be consumed after soaking over night or raw or on empty stomach or before going to bed. Read on to know when is the best and worst time to eat dates
Close
Katrina Kaif shares unseen workout video(Instagram/ katrinakaif)
Katrina Kaif shares unseen workout video(Instagram/ katrinakaif)

Katrina Kaif takes squats up a notch with resistance band in new fitness video

By Nishtha Grover, Delhi
PUBLISHED ON MAR 06, 2021 12:52 PM IST
  • Katrina Kaif recently hosted an Ask Me Anything session on Instagram and shared never seen before images and videos with her fans. She also posted about her healthy breakfast and intense fitness routine.
Close
The study highlighted the ways that public health interventions and policies can better support quit attempts and harm reduction, both during the Covid-19 pandemic and beyond.(Pixabay)
The study highlighted the ways that public health interventions and policies can better support quit attempts and harm reduction, both during the Covid-19 pandemic and beyond.(Pixabay)

Covid-19 lockdown linked to uptick in tobacco use: Study

ANI, Washington [us]
PUBLISHED ON MAR 06, 2021 12:33 PM IST
A new study has found that pandemic-related anxiety, boredom, and irregular routines were cited as major drivers of increased nicotine and tobacco use during the initial Covid-19 lockdown.
Close
Aditi Rao Hydari shares hilarious fitness video(Instagram/aditiraohydari )
Aditi Rao Hydari shares hilarious fitness video(Instagram/aditiraohydari )

No weights, no problem: Aditi Rao Hydari shows how to exercise without equipment

By Nishtha Grover, Delhi
PUBLISHED ON MAR 06, 2021 08:20 AM IST
  • Aditi Rao Hydari shows you how to do weight training without actually using weights in her latest fitness clip. Saying that this video is hilarious would be an understatement.
Close
Study finds mask mandates, dining out influence virus spread(Pexels)
Study finds mask mandates, dining out influence virus spread(Pexels)

Study shows connection between face masks, dining out and Covid-19 cases

AP, New York
UPDATED ON MAR 06, 2021 07:46 AM IST
  • A study done in the USA showed that wearing masks can actually curb the spread of the novel coronavirus. However, dining at restaurants, both in open area and inside, can increase the number of Covid-19 cases and deaths.
Close
Following a vegan diet leads to poorer bone health? Here's what study has to say(Photo by Louis Hansel @shotsoflouis on Unsplash)
Following a vegan diet leads to poorer bone health? Here's what study has to say(Photo by Louis Hansel @shotsoflouis on Unsplash)

Following a vegan diet leads to poorer bone health? Here's what study has to say

ANI
UPDATED ON MAR 05, 2021 09:02 PM IST
A new study observed people following a vegan diet and discovered that they had lower ultrasound values compared to others which indicates poorer bone health
Close
Young people with unstable work life might suffer mental health problems later(Photo by Tim Gouw on Unsplash)
Young people with unstable work life might suffer mental health problems later(Photo by Tim Gouw on Unsplash)

Young people with unstable work life might suffer mental health problems later

ANI
UPDATED ON MAR 05, 2021 08:48 PM IST
A new study reveals that a precarious labour market may be shaping a poorer future for mental health of the young working population hence, future public health policies should address this problem in order to prevent long-term absenteeism
Close
Covid-19: Oxford study hint AstraZeneca vaccine effective against Brazil variant(Photo by Ivan Diaz on Unsplash)
Covid-19: Oxford study hint AstraZeneca vaccine effective against Brazil variant(Photo by Ivan Diaz on Unsplash)

Covid-19: Oxford study hint AstraZeneca vaccine effective against Brazil variant

Reuters
UPDATED ON MAR 05, 2021 08:30 PM IST
The data from a study conducted at the University of Oxford indicates that the Covid-19 vaccine developed by AstraZeneca PLC will not need to be modified in order to protect against the Brazilian variant, which is believed to have originated in the Amazonian city of Manaus
Close
Here’s how you can locate Covid-19 on your skin(Twitter/samrinahashmi)
Here’s how you can locate Covid-19 on your skin(Twitter/samrinahashmi)

Here’s how you can locate Covid-19 on your skin

By Zarafshan Shiraz
UPDATED ON MAR 05, 2021 06:41 PM IST
  • As the new coronavirus variants spread and Covid-19 symptoms continue to increase and expand, here’s how you can locate the infection through these four kinds of skin changes
Close
 (Shutterstock)
(Shutterstock)

Were you up all night again? Tips to help you beat 4 am angst

By Vanessa Viegas
PUBLISHED ON MAR 05, 2021 05:45 PM IST
Arguments you could have navigated better, vital to-dos that you’re not sure you’ve done, the quiet whisperings of an anxious mind — these are a few of our least favourite things
Close
According to a new study, digital solutions including remote monitoring can help chronic pain sufferers manage their pain and reduce the probability of misuse of prescription opioids.(Unsplash)
According to a new study, digital solutions including remote monitoring can help chronic pain sufferers manage their pain and reduce the probability of misuse of prescription opioids.(Unsplash)

Study suggests digital apps can help chronic pain sufferers

ANI, Washington [us]
PUBLISHED ON MAR 05, 2021 04:54 PM IST
Health apps have become a popular tool to track fitness, weight loss, sleep, and even menstrual cycles, and now another benefit of using digital applications has come to light.
Close
Natasa Stankovic shares new fitness video(Instagram/natasastankovic__ )
Natasa Stankovic shares new fitness video(Instagram/natasastankovic__ )

Natasa Stankovic's fitness video will serve as motivation for weekend workout

By Nishtha Grover, Delhi
PUBLISHED ON MAR 05, 2021 04:31 PM IST
  • Natasa Stankovic recently shared a workout video which is a mix of boxing and zumba. The extensive fitness session is inspiring us to stop procrastinating and start our weekend on a healthy note.
Close
SHARE
Story Saved
OPEN APP