Diploma in Diabetology, MD - General Medicine, MBBS, DTM & H(1)
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How does diabetes affect the kidneys?
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Diabetes damages the small blood vessels in the body, including the ones in the kidney. Blood vessels containing high glucose levels retain more water and salt, which may result in weight gain and swelling of the ankles. Such patients may show high levels of protein in their urine and waste material may start building up in the blood
What is the other name for diabetic kidney disease?
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Diabetic kidney disease is also known as diabetic nephropathy as it affects the nephrons that are a part (functional unit) of the kidney. It is also known as chronic kidney disease because it results in the gradual loss of the kidney function and persists for a long period of time.
Which of the following is an early sign of kidney disease in a diabetic patient? A)
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Increased albumin excretion is one of the earliest signs of diabetics who suffer from a kidney disease. The patient may also gain weight due to retention of the water and salt in the body. The blood pressure may get elevated due to retention of salt. Also, the patient may feel to void the bladder more frequently at night.
What are the late signs of kidney disease in a diabetic patient?
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When the disease progresses and results in kidney failure, the blood urea nitrogen (BUN) levels in the patient rise along with the level of creatinine in the blood. Breakdown of insulin does not take place because of diseased kidneys. Therefore, the patient may feel less need to use insulin. The patient may become anemic (low blood count) and may even experience muscle cramps.
A diabetic patient is left with which of the following treatment options after a kidney failure due to diabetes?
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Once the kidneys stop supporting the patient, kidney transplantation, hemodialysis, and peritoneal dialysis are available as treatment options. Each of these procedures has their own risks and benefits, which must be weighed carefully before the decision is taken.