DIABETIC NEPHROPATHY
Diabetes is the leading cause of end-stage renal disorder commonly called kidney failure.
About 20 % to 30 % of people with diabetes develop evidence of nephropathy.
A considerably smaller fraction of people with type 2 diabetes will progress to end-stage renal disorder (ESRD) .
The earliest clinical evidence of nephropathy is microalbuminuria which is characterized by low but abnormal levels of albumin (30MG/Day)
in urine.
The Diabetic Kidney (Contemporary Diabetes)
A considerably smaller fraction of people with type 2 diabetes will progress to end-stage renal disorder (ESRD) .
The earliest clinical evidence of nephropathy is microalbuminuria which is characterized by low but abnormal levels of albumin (30MG/Day)
in urine.
The Diabetic Kidney (Contemporary Diabetes)
People with microalbuminuria are referred to as having incipient nephropathy. If this is left untreated it will lead to overt nephropathy or Clinical Albuminuria (300 mg/day).
A person who is diagnosed with type 2 diabetes needs to take routine urine analysis to test for presence of microalbumin.
A person who is diagnosed with type 1 diabetes needs to take routine urine analysis after 5 years of diagnosis since microalbuminuria rarely occurs within a short duration of type 1 diabetes.
All persons with diabetes should have annual tests for microalbuminuria if their initial test results are negative. About 50 % of people with diabetes have some form of neuropathy, with or without symptoms. Risk for developing nerve damage increases with longer duration of diabetes.
People who have had diabetes for at least 25 years have the highest rates of neuropathy.
Diabetic neuropathy is most common in people who :
- Have had problems in controlling their Blood Glucose Levels.
- Have high Lipid cholesterol levels & blood pressure.
- Are obesity
- Are over 40years of age.
Coping with Kidney Failure (Coping with chronic conditions: guides to living with chronic illnesses for you & your family)
