#diabetic kidney disease

[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.

[pathetic-gamer]

job interview in an hour and a half, please begin casting spells for me shortly 🙏

[cbirt]

Scientists Develop Novel Machine Learning Models to Predict Comorbidities at an Early Stage of Type 2 Diabetes Mellitus

Type 2 Diabetes Mellitus (T2DM), a recognized risk factor for heart failure (HF) and cardiovascular illnesses such as chronic kidney disease (CKD), was diagnosed in an estimated 537 million people worldwide.

In order to manage CKD and HF in individuals with early stages of T2DM, a complete treatment strategy is preferred. Early and better detection of these disorders can improve results. But recent research indicates that T2DM patients’ CKD and HF are not properly recognized, which results in increased rates of disease progression and a worse prognosis.

Researchers at AstraZeneca and Ono Pharmaceuticals created a model that could predict the likelihood that individuals with T2DM who had no prior history of CKD would develop CKD/HF. This study is a major step toward early and better diagnosis of CKD and HF in patients with T2DM.

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[eastberlin]

The face of an old man who is collecting old man diagnoses like Pokémon but is very happy about the fact that meds = food.

[newtness532]

oh i really hope the teacher is kind enough to not put kidney disease on the exam. and hoping even more that she doesn't hate us so much that she'll put kidney disease and diabetes together

[springhillprimarycare]

Internist doctor specializing in chronic care in Port Richey, FL

Spring Hill Primary Care is your trusted partner for comprehensive chronic care in Port Richey, Florida. Led by the skilled Dr. Lakshmi Kolli, M.D., our practice is dedicated to providing personalized and compassionate care to patients with chronic conditions.

Dr. Kolli's Expertise

Dr. Kolli brings over 14 years of experience in internal medicine, specializing in the management of chronic diseases. Her commitment to patient care and her extensive knowledge make her a valuable asset to the Port Richey community.

Our Chronic Care Services

At Spring Hill Primary Care, we offer a wide range of chronic care services, including:

Diabetes Management: Tailored treatment plans to manage blood sugar levels and prevent complications.

Hypertension Control: Effective strategies to lower blood pressure and reduce the risk of heart disease.

Heart Failure Management: Comprehensive care to improve heart function and quality of life.

Arthritis Treatment: Pain management and lifestyle modifications for various arthritis conditions.

Asthma and COPD Care: Strategies to manage respiratory symptoms and improve lung function.

Chronic Kidney Disease Management: Monitoring kidney health and preventing progression.

Weight Management: Personalized plans to achieve and maintain a healthy weight.

Why Choose Spring Hill Primary Care

Personalized Care: We take the time to understand your unique needs and develop a customized treatment plan.

Comprehensive Care: Our team of healthcare professionals provides comprehensive care for all your chronic health needs.

State-of-the-Art Facilities: We utilize the latest medical technology and equipment to deliver the highest quality care.

Convenient Location: Our Port Richey clinic is easily accessible and offers flexible appointment times.

Patient Education: We empower our patients with knowledge about their conditions and how to manage them effectively.

Schedule Your Appointment Today

If you're looking for a dedicated and experienced internist specializing in chronic care in Port Richey, FL, look no further than Spring Hill Primary Care. Contact us today to schedule your initial appointment and experience the difference our personalized care can make.

Address: 10500 Spring Hill Dr, Spring Hill, FL 34608 | Phone: (352) 835-7155

[vaidyaslaboratory]

How Diabetes Can Lead to Heart and Kidney Failure: Symptoms, Risks, and Prevention

Diabetes silently increases the risk of both heart and kidney failure, leading to life-threatening complications. In this blog, we explore how high blood sugar levels damage vital organs, the early warning signs of heart and kidney failure, and the importance of regular tests for prevention. Learn about essential tests like HbA1c, NT-proBNP, and Urine Microalbumin, and discover how Dr. Vaidya’s Diabetic Heart & Kidney Disease Prevention Package, available at ₹2999, can help protect your health.

[mimyclub-blogs]

How to Improve Kidney Function with diet.

Kidney failure occurs when the kidneys lose their ability to filter waste products and excess fluids from the blood effectively. Risk factors for kidney failure include: Diabetes: Uncontrolled diabetes over time can damage the blood vessels in the kidneys, leading to kidney failure. High blood pressure (hypertension): Hypertension can damage the blood vessels in the kidneys, impairing their…

[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.

[diabetesreversalprograminindia]

How Can You Keep Your Kidneys Healthy?

This article is originally published on Freedom from Diabetes website, available here. Everyone know this, how kidney is the most important part of our body. It located at the bottom of the rib cage. It filtering waste and excess fluids from your blood, helping to maintain your overall health.

Kidney disease, if it develops, can lead to serious health complications making things challenging to manage. But no need to worry about this, you can take proactive steps to promote healthy kidneys throughout your life by adopting and maintaining good habits. In this blog I will explain key practices to keep your kidneys functioning optimally.

Always stay hydrated You have to stay hydrated which is good for your kidney health. You have to drink enough water, so it will helps your kidneys flush out toxins and waste products.

Maintain a Balanced Diet You have to be more careful about your diet. Your diet should include nutrient-rich foods, inlcude fruits, vegetables, grains, lean proteins, and healthy fats. etc

Monitor Your Blood Pressure You should maintain blood pressure level in control. Becuase high blood pressure not good for kidney. So regular check your blood pressure level.

Manage Diabetes Diabetes is another major risk factor for kidney disease. If you have diabetes, it's essential to manage your blood sugar levels carefully.

Avoid Overuse of Pain Medications Certain over-the-counter pain medications, like non-steroidal anti-inflammatory drugs (NSAIDs), can harm your kidneys if used excessively.

Regular Exercise Regular Exercise and physical activity supports overall health and can help prevent kidney disease. Exercise improves circulation, promotes heart health, and helps maintain a healthy weight, reducing the risk of kidney problems.

Your kidneys are essential organs that deserve attention and care. By adopting these good habits and maintaining a healthy lifestyle, you can reduce your risk of kidney disease and support the longevity and function of these vital organs. To read more about this, please visit our Article. Also please connect with me on my website, Facebook page, and YouTube if you want to stay in touch or give me any feedback!

[ricisidro]

TVUP Health Update (HU) Webinar #201 -- “Sama-Samang Labanan ang Sakit sa Batô!” Demystifying Chronic Kidney Disease in the Philippines

#Health #HealthAndWellness #Kidney #ChronicKidneyDisease #CKD #Hemodialysis #KidneyTransplant #Nephrologist

#Diabetes #Hypertension #Philippines

https://youtu.be/mGO0t1Fhu9I?si=ejzhfQGkb3e8Kesp

[yashmedica]

Diabetes, High Blood Pressure, and CKD: Understanding the Link

Chronic Kidney Disease (CKD) is a rising concern. How common conditions like diabetes and high blood pressure can lead to CKD (2024). The latest advancements in treatment, early detection methods, and the use of telehealth in managing CKD

Chronic Kidney Disease: Link Between Conditions and Market Trends (2024) Chronic Kidney Disease (CKD) is a growing global health concern. This guide explores the connection between common conditions and CKD, while highlighting the latest trends and innovations from the Chronic Kidney Disease Market leaders like Abbott, Siemens, and Roche. How Diabetes and High Blood Pressure Impact Kidneys How…

[health-homeopathy]

Diabetes - Major Effects And Treatment

Did you know that diabetes mellitus can have detrimental effects on your body in the long run. Chronic diabetes is a condition where your blood sugar levels remain above normal levels for many years. Over a period of time thus can have negative effects on your body organs.

Following are the effects of diabetes mellitus on your body health and well-being: -

Blood vessels - They can become narrower. This leads to reduced blood supply to organs of the body.

Foot Ulcers

Itching

Chronic skin problems

Red foreskin

Gangrene

Kidney damage

Heart damage - Angina or even a Heart attack

Breathing difficulty

ED or erectile dysfunction

Recurring cold, cough and infections

Frozen shoulder

Hence it is necessary to start diabetes treatment to treat it.

Book appointment with the best homeopathy doctor for diabetes treatment at Dr. Mehta’s clinic in Mumbai, India.

[eastberlin]

I am so tired of being stressed/anxious/worried.