Nephropathy is also called as renal insufficiency, polycystic kidney disease ,Bright’s disease uropathy ,polyuria renal disorder
Nephropathy means kidney disease or damage. Diabetic nephropathy is damage to your kidneys caused by diabetes. In severe cases it can lead to kidney failure. But not everyone with diabetes has kidney damage.The first step in treating diabetic nephropathy is treating your diabetes and, if needed, high blood pressure (hypertension). With good management of your blood sugar and hypertension, you can prevent or delay kidney dysfunction and other complications.Medications,In the early stages of the disease, your treatment plan may include various medications, such as those that help:Control high blood pressure. Medications called angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) are used to treat high blood pressure.
Using both of these is not advised because of increased side effects. Studies support the goal of a blood pressure reading of 140/90 millimeters of mercury (mm Hg) or less.Manage high blood sugar. Several medications have been shown to help control high blood sugar in people with diabetic nephropathy. Studies support the goal of an average hemoglobin A1C (HbA1C) of less than 7 percent.Lower high cholesterol. Cholesterol-lowering drugs called statins are used to treat high cholesterol and reduce protein in the urine.Foster bone health. Medications that help manage your calcium phosphate balance are important in maintaining healthy bones.Control protein in urine. Medications can often reduce the level of the protein albumin in the urine and improve kidney function.Your doctor may recommend follow-up testing at regular intervals to see whether your kidney disease remains stable or progresses
The main treatment is medicine to lower your blood pressure and prevent or slow the damage to your kidneys. These medicines include:Angiotensin-converting enzyme inhibitors, also called ACE inhibitors.Angiotensin II receptor blockers, also called ARBs.As damage to the kidneys gets worse, your blood pressure rises. Your cholesterol and triglyceride levels rise too. You may need to take more than one medicine to treat these complications.And there are other steps you can take. For example:Keep your blood sugar levels within your target range. This can help slow the damage to the small blood vessels in the kidneys.Work with your doctor to keep your blood pressure under control. Your doctor will give you a goal for your blood pressure. Your goal will be based on your health and your age. An example of a goal is to keep your blood pressure below 140/90.
Keep your heart healthy by eating healthy foods and exercising regularly. Preventing heart disease is important, because people with diabetes are more likely to have heart and blood vessel diseases. And people with kidney disease are at an even higher risk for heart disease.Watch how much protein you eat. Eating too much is hard on your kidneys. If diabetes has affected your kidneys, limiting how much protein you eat may help you preserve kidney function. Talk to your doctor or dietitian about how much protein is best for you.Watch how much salt you eat. Eating less salt helps keep high blood pressure from getting worse.Don't smoke or use other tobacco products.
There are no symptoms in the early stages. So it's important to have regular urine tests to find kidney damage early. Sometimes early kidney damage can be reversed.As your kidneys are less able to do their job, you may notice swelling in your body, most often in your feet and legs.The problem is diagnosed using simple tests that check for a protein called albumin in the urine. Urine doesn't usually contain protein. But in the early stages of kidney damage-before you have any symptoms-some protein may be found in your urine, because your kidneys aren't able to filter it out the way they should.Finding kidney damage early can keep it from getting worse. So it's important for people with diabetes to have regular testing, usually every year.
In the early stages of diabetic nephropathy, you may not notice any signs or symptoms. In later stages, the signs and symptoms include:Worsening blood pressure control,Protein in the urine,Swelling of feet, ankles, hands or eyes,Increased need to urinate,Less need for insulin or diabetes medicine,Confusion or difficulty concentrating,Loss of appetite,Nausea and vomiting,Persistent itching,Fatigue.Those who do not face such problems are not prone to Nephropathy.
Complications of diabetic nephropathy may develop gradually over months or years. They may include:Fluid retention, which could lead to swelling in your arms and legs, high blood pressure, or fluid in your lungs (pulmonary edema) A sudden rise in potassium levels in your blood (hyperkalemia)Heart and blood vessel disease (cardiovascular disease), possibly leading to stroke,Damage to the blood vessels of the retina (diabetic retinopathy),Anemia, Foot sores, erectile dysfunction, diarrhea and other problems related to damaged nerves and blood vessels,Pregnancy complications that carry risks for the mother and the developing fetus ,Irreversible damage to your kidneys (end-stage kidney disease), eventually requiring either dialysis or a kidney transplant for survival
Lifestyle behaviors can support your treatment goals. Depending on your situation, kidney function and overall health, these actions may include:Being active most days of the week. With your doctor's advice, aim for at least 30 minutes of physical activity most days of the week.Adjusting your diet. Talk with a dietitian about limiting intake of sodium, choosing lower potassium foods and limiting the amount of protein you eat.Quitting smoking. If you're a smoker, talk with your doctor about strategies for quitting smoking.Maintaining a healthy weight. If you need to lose weight, talk with your doctor about strategies for weight loss. Often this involves increasing daily physical activity and reducing calories.Taking a daily aspirin. Talk with your doctor about whether a daily low-dose aspirin is right for yo Maintain a healthy weight. If you're at a healthy weight, work to maintain it by being physically active most days of the week.
If you need to lose weight, talk with your doctor about strategies for weight loss. Often this involves increasing daily physical activity and reducing calories. If you're a smoker, talk to your doctor about strategies for quitting smoking. Support groups, counselling and medications can all help you to stop.To reduce your risk of developing diabetic kidney disease:Treat your diabetes. With effective treatment of diabetes, you may prevent or delay diabetic kidney disease.Manage high blood pressure or other medical conditions.
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Diabetes is not an isolated disease but a syndrome. It brings with it a host of issues, affecting almost all organs, and that is the reason it is a dreaded issue. Diabetes is the result of chronic inflammation and this inflammation gradually spreads to all other organs. One of the main organs adversely affected is the kidneys. The kidneys are essential filtration agents, and impaired kidney function can have a series of bad effects on the body.
The good news is that not everybody with diabetes will have diabetic nephropathy. However, risk factors for developing diabetic nephropathy are:
If you have these risk factors, then all efforts should be aimed at keeping blood sugar at highly optimal level. Once it reaches beyond a certain level, it is very difficult to get it under control.
The idea is to arrest or stop damage to the kidneys.
Nephrotic syndrome is a type of kidney disorder wherein, the body passes out excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes.
Common causes behind it
If you are experiencing pink or cola-colored urine or your urine is foamy, you could be suffering from glomerular disease. Also known as glomerulonephritis, this condition involves inflammation of the tiny kidney filters or glomeruli. It may be acute, sudden or chronic. When glomerulonephritis occurs by itself, it is called primary glomerulonephritis, and in case it occurs from other diseases, it is called secondary glomerulonephritis. Prolonged and intense inflammation associated with glomerular disease may damage the kidneys.
The symptoms of glomerular disease are based on the form of glomerulonephritis. The common symptoms are as follows:
There are several conditions, which may lead to glomerular disease. They are as follows:
The tests and procedures used for the diagnosis of glomerular disease are as follows:
The treatment for glomerulonephritis or glomerular disease aims at protecting the kidneys from more damage.
Keeping the blood pressure under control is important for protection of the kidneys. You should take prescribed medications for the management of blood pressure. Other medications are prescribed for the treatment of underlying causes, which lead to glomerular disease with kidney inflammation.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Diabetes is a lifestyle disease that is very prevalent in the current generation. According to a report by the World Health Organisation (WHO), the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014. The global prevalence of diabetes among adults over 18 years of age has risen from 4.7% to 8.5% from 1980 to 2014. Diabetes should not be taken lightly as it can affect other body organs besides the pancreas, such as the kidneys. Diabetic nephropathy refers to damage to your kidneys caused by diabetes, and may also lead to kidney failure in various cases.
Causes of diabetic nephropathy
Not everyone who suffers from diabetes will suffer from diabetic nephropathy. The main function of the kidneys is to filter waste from your blood. However, this is not always the case. Due to high a concentration of blood sugar caused by diabetes, several blood vessels in the kidney are destroyed, thereby, preventing the kidneys from carrying out its job. Over time, the kidneys may stop working altogether, resulting in kidney failure. If you are diabetic, the probability of you suffering from diabetic nephropathy will increase if you smoke or have high blood pressure or high cholesterol.
Catching it early
Today, diabetic nephropathy is the leading cause of chronic kidney disease in the US and other western countries. Since the symptoms of this condition aren’t visible in its early stages, you need to undergo urine tests on a regular basis. If detected early, the effects of diabetic nephropathy can be reversed. Common symptoms of this disease include the following:
What are the treatment options?
Medication to lower the blood pressure is the most commonly prescribed form of treatment suggested by doctors to prevent or slow the damage to your kidneys. There are other lifestyle changes that you may have to undertake in order to keep a check on the condition:
Diabetes is an unfortunate condition to have to live with. But don’t let it bog you down! With these simple lifestyle changes and taking care of your general well-being, you can beat the disease and emerge a winner! In case you have a concern or query you can always consult an expert & get answers to your questions!
Each tiny action we commit involves the risk of a condition, disease or disorder. For instance, sneezing a bit too hard can rupture an eye vessel, or having your face right up against the wind in a moving bus can expose you to germs. Diabetes is as prevalent as common cold in every household and there is no end to the list of causes that can make you suffer from it. While regular check-ups, medications, insulin shots can help you cope, there are certain measures that if followed, can enable you to avoid the risk of secondary yet fatal diseases. Diabetic nephropathy is one such condition.
When Kidney is affected to the extent that it cannot perform its functions(like excretion of wastes in urine, filtering blood from waste, maintaining electrolyte balance,etc.) properly, it is called as Nephropathy. The reason behind kidney damage could be many, but if diabetes is the prime cause, it is known as diabetic nephropathy in medical terms.
A few features of this disorder are as follows:
In a given situation such as this, dialysis or kidney transplant comes to your aid. Both are done when kidney functions are irreversibly damaged. Dialysis can be of two kinds; Hemodialysis or Peritoneal dialysis. Dialysis (also called as Renal Replacement Therapy) remedies kidney damage and kidney failure by using a machine to extract salts, wastes and other fluids in excess from the blood to let your blood have a healthy composition. Dialysis should only be done under the supervision of an experienced nephrologist for best results.