How Chronic kidney disease connected with Diabetes and Blood Pressure

How Chronic kidney disease connected with Diabetes and Blood Pressure

A review article by

Dr Sunil Kumar  Feel Free to Connet on Linkedin 

Up to 40% of persons with Type 2 diabetes, according to the National Renal Foundation, will eventually experience renal failure.

Conditions that harm your kidneys and lessen their capacity to keep you healthy by filtering waste from your blood are included in chronic kidney disease. Wastes can accumulate to high amounts in your blood and make you feel ill if renal disease progresses. You could have issues like:

  • Elevated blood pressure
  • Low blood count; Anemia
  • Fragile bones
  • Nutritional deficiencies
  • Injuries to nerves

 

Your chance of developing heart and blood vessel disease is also increased by kidney disease. These issues may develop gradually over a lengthy period of time. Often, chronic kidney disease can be prevented from getting worse by early detection in this process INIGIMA Digital Screening helps a lot to understand the disease progression and treatment. As kidney disease worsens, renal failure may develop, which calls for dialysis or a kidney transplant to stay alive.

One of the main causes of kidney disease and kidney failure is high blood pressure or hypertension. High blood pressure causes damage to blood vessels because it creates a lot of internal tension. These blood vessels may narrow (or “close off”), which may result in kidney failure, a heart attack, or a stroke.

Diabetes can impact small blood arteries, according to Dr. Vivek Bhalla, an associate professor of medicine and nephrology at Stanford University School of Medicine in California. And hypertension may ensue from that. Kidney disease may potentially come from that.

According to Bhalla, a former chair of the American Heart Association’s Council on the Kidney in Cardiovascular Disease, it can be a vicious cycle. Kidneys that have diabetes are less effective in filtering blood. Additionally, it results in blood vessel stiffening, which raises blood pressure. And according to him, high blood pressure has the same effect as kerosene on a fire in speeding up Kidney failure. That exacerbates excessive blood pressure, which is the cause of numerous heart-related issues. According to Bhalla, a large portion of that cycle occurs covertly.

Most Type 2 diabetics don’t acquire a diagnosis and don’t begin taking medication until they have the disease for roughly five years, he claimed. It is well known that high blood pressure is a “silent killer.” Additionally, unless kidney disease is nearly advanced, there are no symptoms.

Kidney disease indicates that the kidneys have suffered damage. An illness like diabetes can harm the kidneys. Once injured, your kidneys are unable to properly filter your blood or perform other tasks.

Dialysis: What is it? Will I require dialysis if I have kidney disease?

Dialysis is a medical procedure that clears your blood of wastes and extra fluid.

You do not require dialysis if your chronic kidney disease (CKD) is in its early stages. Chronic renal disease can progress through numerous stages over many years. However, you will require dialysis or a kidney transplant to remain alive if your kidneys start to fail.

What time should I begin dialysis?

According to National Kidney Foundation recommendations, you should begin dialysis when your kidney function falls to 15% or less, or if you experience severe kidney disease symptoms as shortness of breath, exhaustion, muscle cramps, nausea, or vomiting.

Based on your symptoms and the results of lab tests that assess how much kidney function you still have, your doctor will help you decide when to begin dialysis.

Considerations for beginning a dialysis regimen

The most severe stage of CKD, Stage 5, has an estimated glomerular filtration rate (eGFR) of fewer than 15. There are five stages of CKD. Patients are typically only considered for kidney transplantation or to begin dialysis therapy if they have Stage 5 CKD.

There are many reasons to begin dialysis treatment. The most frequent reasons for beginning dialysis therapy are edema caused by fluid retention or trouble breathing due to fluid buildup in the lungs. Dialysis can be the sole choice if this cannot be treated with medicines. Dialysis might also be required if you get pericarditis, an inflammation of the heart’s surrounding tissue, or fluid accumulation there.

 

Tags:

Comments are closed