October 10, 2016
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Recently published in The Lancet, results from Global Burden of Diseases 2015 reveal that heart attacks, lung obstruction, strokes along with diabetes and chronic kidney disease are the top 5 causes of death in India. Together these causes account for more than 1/3rd of deaths in the country. According to this report, between 2005 and 2015, diabetes as a cause of death has increased at an alarming 35% whereas chronic kidney disease by 21%.
Dr. Ami Mehta, M.D., expert diabetologist at Advanced Diabetes Centre shares her thoughts about how to prevent and arrest the progression of kidney disease. “Some form of kidney disease is commonly seen in about 40% of people with type 1 diabetes and about 20-30% of those living with type 2 diabetes”, Dr. Ami says.
“People living with diabetes should check for increase in levels of albumin, a protein in urine. In most instances, this is the first sign of damage to the kidney. If albumin levels are above 30mg/g measured on two occasions, triggers a warning sign. In another blood test, the filtration of the kidney (ability to throw the toxins) is tested via estimating the levels of serum creatinine through eGFR (estimated Glomerular Filtration Rate). At birth eGFR is about 120ml/min. It declines at approx. 1%/year as the age advances. Age, gender, ethnicity etc. are the common factors that affect eGFR. eGFR below 60ml/min triggers the diagnosis of kidney disease. Early detection of kidney disease can help in prevention of its progression or even reversing it. Kidneys if are unable to throw out harmful wastes from the blood, can cause advanced stage of kidney disease – kidney failure, a life-threatening condition”, Dr. Ami says further.
“A person needs at least one functioning kidney to survive”, Dr. Ami ads. Talking about the advanced stage of the disease, Dr. Ami mentions, “When both kidneys have failed, dialysis or kidney transplant becomes essential for the person to survive. Diabetes can quickly result in progression of kidney disease. Early detection can help in initiation of aggressive treatment strategies to stop or slow down the progression of kidney disease. At least once a year check up of kidney function via microalbuminuria and eGFR tests is a must for all people living with diabetes. In the management of diabetes, one size DOES NOT fit all. At Advanced Diabetes Centre, individualized assessment and treatment strategies are chalked out for each patient to achieve optimal control over blood sugar, blood pressure and lowering of urine albumin levels. Organised Diabetes Care offered by Advanced Diabetes Centre also helps patients to lead a healthy and active lifestyle – proper nutrition, exercise, smoking cessation etc. are all complementing to maintain proper health of kidneys.”
“Prevention is the real key”, Dr. Ami continues, “About 10% of cases progress to the level of kidney failure. However, it all depends on the person’s eGFR at the time of diagnosis. As the disease progresses, eGFR decreases. If the aggressive treatment starts with early detection when eGFR is in the range of 40-60% of normal levels, then there are high chances of preventing the further progression of the kidney disease.”
If you want to get more information on how to effectively control your diabetes,prevent life-threatening complications, and lead a normal life, contact experts at Advanced Diabetes Centre.
Advanced Diabetes Centre offers comprehensive Organised Diabetes Care under one roof. Advanced Diabetes Centre has an entire team of specialized diabetes consultants, including expert clinicians from other specialties such as Dermatology, Cardiology, Neurology, Nephrology, Surgery etc. Qualified and trained nutrition experts, physiotherapists, diabetes educators guide the patients throughout and empower them to take control of their diabetes. For more information give a missed call to 7227000100 and for appointments call 0261-2600100.
Advanced Diabetes Centre is committed to improving Organised Diabetes Care.
Tags: Advanced Diabetes Centre, Chronic, Diabetes, diabetologist, Disease, India, Kidney