Renalinfo


  Diabetes mellitus

Diabetes mellitus
  

Diabetes is a common condition. It affects at least 2% of people of European origin and 13% of Afro-Americans. Diabetes is caused by the failure of the pancreatic gland to produce enough insulin. This hormone regulates how your cells get the sugar they need for energy from the blood. As a result, your blood sugar levels can go too high after meals, and too low if you don't eat.

Frequent changes in these levels can, for reasons that are not fully understood, damage your kidneys.

About 40% of people with diabetes have problems with their kidneys. This happens most often when people have had diabetes for longer than ten years. By this stage, they are also likely to have other long-term complications of diabetes, such as heart disease or eye problems. Diabetes is the most common cause of kidney failure in some parts of the world, where it may affect as many as 40% of dialysis patients.

Tests can diagnose kidney failure in people with diabetes.

Kidney failure itself is not hereditary. Diabetes and some of the other diseases that can cause kidney failure, however, do run in the family. Therefore, it is important that you get regular medical check-ups if anyone in your family has diabetes or kidney failure.

If diabetes has started to affect your kidneys, it is likely you will need dialysis or a transplant one day. There are, however, things you can do that might delay this, and keep your kidneys (and the rest of you) as healthy as possible:

  • Check your blood pressure regularly. The kidneys are very sensitive to high blood pressure in diabetic patients. Since kidney disease causes high blood pressure, nearly all diabetics with kidney trouble are on blood-pressure drugs. A type of drug known as an ACE inhibitor may provide special protection, but it will not necessarily be suitable for everyone-your doctor will advise you about this. High blood pressure can damage not only the kidneys, but other parts of the body too, so control of blood pressure is vital.
  • Keep your sugar levels under control. This might help the kidneys to stay healthy for longer. Keeping your blood sugar under control helps prevent problems with your eyes as well.
  • Monitor your blood cholesterol levels. You can keep your blood cholesterol low by avoiding fatty foods. Many doctors recommend this, particularly if you have diabetes. It will help with any associated heart or circulation problems too.
  • Don't smoke. Smoking is clearly linked to heart disease and cancer. It also reduces your general level of fitness. If you have any long-term health problems at all, don't smoke. Ask your doctor for help in stopping smoking if you need to.
"My kidney disease was caused primarily by diabetic problems that I experienced, and in essence it destroyed my kidneys. I wasn't aware of what was happening. It all began last summer. I just knew that I felt awful. I smelled kind of metallic. I seemed to be swelling., seemed to be changing in color, just a lot of different things." -Janice a kidney patient

May 1, 2006


Next: High blood pressure   

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