#DKD

[magnusbae]

Anakin is on his knees.

This on itself should be humiliation, should be the most obvious sign of defeat, of finally at admittance of being the force Jedi, of never truly surpassing Obi-Wan in anything by brutal strength. What of wisdom, what of listening to the living force and filtering the mud and fuss, what of true servitude, what of being....good... of being just.

There is nothing of this within Anakin. He is tainted with anger and hatred and jealousy. He needs to have, he needs to posses, he needs to be loved and to love, to love so completely it'll burn away all that hs should be. He is too damaged to truly be a Jedi, and Obi-Wan?

Obi-Wan Kenobi is perfect. All what a jedi should be, all that a man should be, all that...

A gentle hand caress through his hair. His Master is unmoving otherwise, standing straight and proper and in control. He shows no emotion on his face, within his force signature. He is a fine statue of a proper jedi and yet.... he embraces Anakin's head and lets him lean in, lean his face against his Master's tan robes.

Oh, oh to be close to him. Oh to be seen by him kindly. Oh, oh to be lov.....

The word die within his heart, the word is beaten and hallowed and used up till it's barely there.

If only it could be used by the man, if only... then Anakin would... surely it will fix him, them, everything. Right?

He reaches his hands up, would be prayer, he takes a hold of his Master's belt, holding upon i for balance, for stopping him from leaving.

His Master does not leave. His Master radiates a deep, reserve sadness through the force, strong enough to sip through impeccable shields. His Master looks down at him, Anakin can feel that. He does not dare look up. He will not live to see a rejection in those blue eyes.

He will stay here, within his Master's protective shadow, where he belongs. Where he should never left.

[salmankhanholics]

★ Salman has a different connect with the audience because he has a connection with people. He is a very generous man and he really takes care. So, his connection is something different and people accept him like that.-Siddharth Basu (Producer of Dus Ka Dum)

-July 24, 2023

[photogenicfirecracker]

*eats you*

[diabetickidneydiseasehealth]

Clinical Diagnostic Recommendations for DKD

Exclusion of Non-Diabetic Kidney Diseases

The guidelines from the American Diabetes Association (ADA) in 2022, the Kidney Disease Improving Global Outcomes (KDIGO) organization in 2020, and the Asia-Pacific Society of Nephrology (APSN) in 2020 all assert that Diabetic Kidney Disease (DKD) refers to the occurrence of proteinuria and/or renal function decline in diabetic patients, with the exclusion of kidney damage caused by other underlying reasons.

In actual clinical diagnoses of DKD patients, a subset frequently presents with coexisting non-diabetic kidney diseases (NDKD). This may include scenarios where diabetes or DKD coexists with conditions like IgA nephropathy, membranous nephropathy, lupus nephritis, hepatitis B-related nephritis, vasculitis-related kidney injury, and even renal amyloidosis.

A meta-analysis incorporating 48 studies, involving 4,876 cases of kidney biopsies in DKD patients, revealed a non-diabetic kidney disease (NDKD) occurrence rate of approximately 36.9%. The occurrence rate of diabetic nephropathy (DN) combined with non-diabetic kidney disease (NDKD) was about 19.7%. Consequently, the guidelines recommend that before diagnosing DKD in type 2 diabetes patients, a comprehensive assessment, incorporating medical history, clinical manifestations, relevant laboratory tests, especially serum immunology, and imaging examinations, should be conducted to rule out non-diabetic kidney diseases (NDKD). Only after excluding NDKD can a diagnosis of DKD be confirmed.

Measurement of Urinary Albumin/Creatinine Ratio (UACR) and eGFR

Internationally, guidelines from organizations such as the American Diabetes Association (ADA) in 2022, the Kidney Disease Outcomes Quality Initiative (KDOQI) in 2007, the 2021 Clinical Diagnosis and Treatment Guidelines for Diabetic Kidney Disease, and the 2021 edition of the Chinese Guidelines for the Prevention and Treatment of Diabetic Kidney Disease recommend the repetition of UACR and eGFR measurements three times within a 3–6 month period. A clinical diagnosis of Diabetic Kidney Disease (DKD) is considered when, during these repeated measurements, UACR increases (>30mg/g) and/or eGFR falls below 60mL/min/1.73m² on two or more occasions. However, it is important to note that factors such as intense physical activity, infection, fever, congestive heart failure, etc., can cause transient proteinuria.

Taking into account domestic and international guidelines, after excluding factors causing transient proteinuria, a diagnosis of DKD can be established if, during the 3–6 month period with three repeated measurements, UACR increases (>30mg/g) and/or eGFR is consistently below 60mL/min/1.73m² on two or more occasions.

In clinical practice, some DKD patients may not meet the diagnostic criteria based on urine tests, but their eGFR is below 60mL/min/1.73m². The 2021 Clinical Diagnosis and Treatment Guidelines for Diabetic Kidney Disease, the Chinese Guidelines for the Prevention and Treatment of Diabetic Kidney Disease (2021 edition), and the 2022 ADA guidelines suggest that after excluding factors such as infection, obstructive kidney disease, medications, malignant hypertension, and other causes of acute kidney injury, a diagnosis of normoalbuminuric diabetic kidney disease (NADKD) can be made if, during the 3–6 month period with three repeated measurements, urine tests are normal but eGFR remains below 60mL/min/1.73m² on two or more occasions.

In a 2021 meta-analysis of 31 studies (including 18 cross-sectional studies, 11 cohort studies, and 2 case-control studies), the overall prevalence of normoalbuminuric diabetic kidney disease (NADKD) in patients with type 2 diabetes and chronic kidney disease (CKD) was 45.6%. Within the DKD patient population, the prevalence of NADKD was 24.7%. A long-term follow-up study also found that regardless of proteinuria, diabetic patients with CKD stage 3 or later could experience varying degrees of further decline in kidney function after 10 years.

[bettertwin1]

I think the reason why theres few you themed blogs is because everyone is too intimidated by your awesomeness to try /joke

This mjght be it actually,, the onky other leo blog i know that isnt an intrj is the old man and he isnt active cause he's old and has adult things to do like taxes and idk uhhh ptsd ☹️ <- miss him

[sweetlyticklish]

hi bestest you should answer 13 23 && 28 :D

hie bestie!! 🥺💗 i answer for you!!

13. How would you describe your perfect day?

More recently I think a perfect day to me would be no alarm, being able to be just well rested for once lol, wake up to the sun, maybe taking extra time to really care for myself, and i don’t normally have breakfast, but i find when i have my favorite breakfast it just makes my day feel so much better? i really like the thought of cuddling up to my favorite show at the time and do a little binge watching 🤭 or even just being surrounded by the people i love, like my friends, just having a good time and giggling together!!

14. What is the most intense tickling you’ve ever experienced?

Honestly, every time “IT” happens to me, I always am like THIS IS THE WORST JSJSISHD, but I feel like truly any of the times I’ve gotten to play with @hiddengiggles and @helixtickl because they really are such a good duo, they forget nothing, they miss nothing, and if you are ever like in that position with them… they’re gonna keep you there a WHILE 😂 I think also the intense part for me is I don’t know how genuinely it would be like to be tworded by more than 2 people, because already it’s crazy. I literally there are times where I’m like “PLS IM CRYING” LIKE ACTUALLY CRYING. And it’s so intense, but in the best way, they take really good care : ) but they’re not ever at the same spot. There’s two of them so they typically switch between my top worst and that in itself is so intense bc I’m so KSNDKDJTWORDISH

28. Is there anything tickling related that you've always wanted to try?

Hm, honestly as scared as I am and I mean s c a r e d. I’d want to try something extremely immobile? Or like definitely would love to try stocks. Simply because I move around ALOT, like there are times where I just get so weak from laughter I can’t, but often times I’m STRUGGLING. I think as much as I would die, I’d be down to try more of a gang type setting too? I’ve always been down to try different methods or bondage/positions. This is even like as a switch too!!

[solemntitty]

a game called 'whos getting the skill point' feat. bitches who have Drama between all of them

[dataglitch]

OH MY WORD HI!!

You are literally so cool and I just wanted to say hi

Hello there!<3 Thank you, always appreciate the kind words :'D

[hallloin]

lonly…… :<

[fierceyetflawed]

mannnn I love tumblr

[hoseoksluna]

IM CRYINGKDNDNDNSNSKDNNSD

[beyblaiddyd]

[salmankhanholics]

★Salman Khan Has a Different Connect with Audience. He’s a Very Generous Man.

He Treats Everyone Equally whether They are Big Celebrities, Big Person, Vegetable Seller, Sweeper or Pan Wala, His Genuineness Comes Thru.

He Has Been Very Popular on Bigg Boss.-Siddharth Basu Producer of Dus Ka Dum

-July 2023

[photogenicfirecracker]

RAHHHHHHH *eagle screech mp3*

FREEDOM!!!!!

[diabetickidneydiseasehealth]

Breakfast Choices for Individuals with Diabetic Kidney Disease

Managing daily life and dietary choices can be challenging for those dealing with diabetic kidney disease, a common chronic condition. Breakfast, often hailed as the most important meal of the day, holds particular significance for individuals living with both diabetes and kidney disease. This article explores dietary strategies for the breakfast of individuals with diabetic kidney disease, aiming to assist them in better managing their condition and enhancing their overall quality of life. Whether you are personally managing diabetes or a concerned family member, the information provided here can be valuable to you.

1.Egg Custard with Mixed Vegetables

Seafood Egg Custard (60g egg, 10g dried shrimp, 2g sesame oil)

Colorful Vegetable Mix (150g, including purple kale, bell peppers, and leafy greens)

Whole Wheat Bread (2 slices, 50g)

1 cup of milk (250ml)

This meal offers a diverse array of vegetables and high-quality protein from seafood and eggs, providing a well-rounded nutritional profile.

2.Broccoli with Chicken

Broccoli Salad (150g broccoli, a pinch of salt, a drizzle of sesame oil)

Chicken Breast Slices (50g chicken breast, 2ml light soy sauce, a touch of sesame oil)

1 cup of soy milk (300ml)

Half a Red Date and Sweet Potato Steamed Bun (30g small bun, 1 red date, 20g sweet potato flour, made from a mixture of wheat and sweet potato flour, fermented and steamed)

This meal includes a variety of vegetables, lean protein from chicken, and whole grains. Adjust the portion of chicken and broccoli for those with smaller appetites.

3.Seaweed Rice Roll with Yogurt

Seaweed Rice Roll (150g cooked rice, 1 sheet of seaweed, half a carrot, a little ham, 1 egg, a moderate amount of sesame oil, a pinch of black sesame seeds, half a cucumber, and a lettuce leaf)

1 cup of unsweetened yogurt

The seaweed rice roll combines the main carbohydrate source with various vegetables. Paired with yogurt, it becomes a convenient and nutritious breakfast option, especially suitable for individuals with diabetes on the go.

4.Oatmeal Porridge

Oats are renowned for their stomach-nourishing and lung-moistening properties, helping prevent post-meal high blood sugar. Oatmeal porridge, often referred to as the “longevity porridge,” is favored by many centenarians. Adding millet to the oats creates a fragrant and soft porridge with calming and sleep-enhancing effects, along with stomach nourishment and lung moisturization. Oats are high in dietary fiber, providing a satisfying feeling of fullness without causing spikes in blood sugar levels, making it an excellent choice for preventing post-meal high blood sugar.

[chrissdollie]

TODAY WAS SUCH A GOOD DAY GUYS 9/10