Control your blood pressure and blood sugar levels before the disease crossed into kidney failure.
Indeed, not all people with diabetes will develop kidney disease. However, several factors influence the development of kidney disease, such as genetics, blood sugar levels, and blood pressure. The more routine patients to control diabetes and blood pressure, risk of developing kidney disease will increasingly fall.
Chronic diabetes is closely related to several other comorbidities, such as hypertension, renal dysfunction, and dyslipidemia. Sufferers of chronic complications of diabetes are required wary of this sugar from the disease.
"In the RSCM just 20-30 percent of patients with diabetes type 1 or 2 had diabetic nephropathy and a third undergoing hemodialysis or dialysis," said DR. Dr. Budiman Widjojo, SpPD, specialists in internal medicine from the Faculty of Medicine, University of Indonesia, in the event "alert Discussion Chronic Complications of Diabetes" at the Cipto Mangunkusumo Hospital, some time ago.
He also explained that the kidney consists of millions of filter units, each unit also has a membrane filter or membrane filter. The mechanism of diabetes in kidney damage begins with high blood sugar levels in the body that react to a change in the protein structure and function of cells. As a result, the protein barrier is damaged and leak protein into the urine (albuminuria).
Budiman call these conditions as diabetic nephropathy or renal dysfunction as a result there is a leak that allows the protein to escape and mix with urine. This causes the filtering function, disposal, and impaired renal hormonal. As a result, stimulation of red blood cell production in bone marrow will decrease, causing anemia. "In advanced conditions resulted in a terminal or chronic renal failure," he said.
Budiman said the symptoms of diabetic nephropathy is only felt when the kidney damage is severe. Usually the patient will experience swelling in the legs and face, nausea, vomiting, lethargy, headaches, itching, frequent hiccups, and weight loss. Complications are also common symptoms are not typical. People also often do not feel any symptoms.
"Detection cided with urine checked, whether there is protein in urine," said the doctor who practices in Maternal and Child Hospital Cibubur. Microalbuminuria may be a marker of renal impairment danger. Can be associated, if there is a development of urine protein by 60-80 percent, and if uncontrolled, could be kidney failure.
Examination conducted after five years of albuminuria in patients with type 1 diabetes. Usually it starts. Budiman said people with type 1 diabetes mellitus is usually experienced by children, but also in adults.
According to him, in children, a genetic disorder and blood vessels have disrupted so that it can be said to have suffered from hypertension. In adults, complications usually occur because of insulin.
In type 2 diabetes, the pancreas still produces insulin. In the beginning levels are higher than normal conditions. But the body's immunity or resistance to establish the effect that occurs as the relative insulin deficiency. They also need to strictly control their blood sugar to avoid kidney problems.
To be aware of the occurrence of these chronic kidney, Budiman also advise patients to always control the pressure and blood sugar. Why is blood pressure that could potentially be of hypertension?
Hypertension can be one sign for kidney disease. In the kidney there are millions of blood vessels that function to filter blood and remove waste products. If the blood vessels in the kidney is damaged, there is the possibility of blood flow stop wasting other wastes and extra fluid. Well, if extra fluid is increased in blood vessels, can increase blood pressure.
Controlling blood sugar is also very important. According to Budiman, research shows, by strict control of blood sugar, reduces the risk of microalbuminuria by a third. Other studies have even shown that strict controls are carried out can reduce levels of albuminuria.
Another complication to be aware of this kidney is a heart attack. Budiman said urine proteins can also trigger heart attacks.
When patients undergo fasting, other internal medicine specialists, Dr.. Imam Subekti, SpPD, KEMD, encourage diabetics to consult first. Especially for people with diabetes who had been on insulin therapy. "To avoid risks during fasting, such as blood sugar levels drop dramatically (hypoglycemia) or a drastic increase (hyperglycemia)," Priest said.
According to Imam, dietary and insulin therapy should also be observed strictly. In addition, patients should control their blood sugar and pressure. Imam also reminded about the consumption of sweet foods in diabetics during fasting. "It remains to be guarded," he said. *** [DIAN YULIASTUTI | KORAN TEMPO 3608]
Indeed, not all people with diabetes will develop kidney disease. However, several factors influence the development of kidney disease, such as genetics, blood sugar levels, and blood pressure. The more routine patients to control diabetes and blood pressure, risk of developing kidney disease will increasingly fall.
Chronic diabetes is closely related to several other comorbidities, such as hypertension, renal dysfunction, and dyslipidemia. Sufferers of chronic complications of diabetes are required wary of this sugar from the disease.
"In the RSCM just 20-30 percent of patients with diabetes type 1 or 2 had diabetic nephropathy and a third undergoing hemodialysis or dialysis," said DR. Dr. Budiman Widjojo, SpPD, specialists in internal medicine from the Faculty of Medicine, University of Indonesia, in the event "alert Discussion Chronic Complications of Diabetes" at the Cipto Mangunkusumo Hospital, some time ago.
He also explained that the kidney consists of millions of filter units, each unit also has a membrane filter or membrane filter. The mechanism of diabetes in kidney damage begins with high blood sugar levels in the body that react to a change in the protein structure and function of cells. As a result, the protein barrier is damaged and leak protein into the urine (albuminuria).
Budiman call these conditions as diabetic nephropathy or renal dysfunction as a result there is a leak that allows the protein to escape and mix with urine. This causes the filtering function, disposal, and impaired renal hormonal. As a result, stimulation of red blood cell production in bone marrow will decrease, causing anemia. "In advanced conditions resulted in a terminal or chronic renal failure," he said.
Budiman said the symptoms of diabetic nephropathy is only felt when the kidney damage is severe. Usually the patient will experience swelling in the legs and face, nausea, vomiting, lethargy, headaches, itching, frequent hiccups, and weight loss. Complications are also common symptoms are not typical. People also often do not feel any symptoms.
"Detection cided with urine checked, whether there is protein in urine," said the doctor who practices in Maternal and Child Hospital Cibubur. Microalbuminuria may be a marker of renal impairment danger. Can be associated, if there is a development of urine protein by 60-80 percent, and if uncontrolled, could be kidney failure.
Examination conducted after five years of albuminuria in patients with type 1 diabetes. Usually it starts. Budiman said people with type 1 diabetes mellitus is usually experienced by children, but also in adults.
According to him, in children, a genetic disorder and blood vessels have disrupted so that it can be said to have suffered from hypertension. In adults, complications usually occur because of insulin.
In type 2 diabetes, the pancreas still produces insulin. In the beginning levels are higher than normal conditions. But the body's immunity or resistance to establish the effect that occurs as the relative insulin deficiency. They also need to strictly control their blood sugar to avoid kidney problems.
To be aware of the occurrence of these chronic kidney, Budiman also advise patients to always control the pressure and blood sugar. Why is blood pressure that could potentially be of hypertension?
Hypertension can be one sign for kidney disease. In the kidney there are millions of blood vessels that function to filter blood and remove waste products. If the blood vessels in the kidney is damaged, there is the possibility of blood flow stop wasting other wastes and extra fluid. Well, if extra fluid is increased in blood vessels, can increase blood pressure.
Controlling blood sugar is also very important. According to Budiman, research shows, by strict control of blood sugar, reduces the risk of microalbuminuria by a third. Other studies have even shown that strict controls are carried out can reduce levels of albuminuria.
Another complication to be aware of this kidney is a heart attack. Budiman said urine proteins can also trigger heart attacks.
When patients undergo fasting, other internal medicine specialists, Dr.. Imam Subekti, SpPD, KEMD, encourage diabetics to consult first. Especially for people with diabetes who had been on insulin therapy. "To avoid risks during fasting, such as blood sugar levels drop dramatically (hypoglycemia) or a drastic increase (hyperglycemia)," Priest said.
According to Imam, dietary and insulin therapy should also be observed strictly. In addition, patients should control their blood sugar and pressure. Imam also reminded about the consumption of sweet foods in diabetics during fasting. "It remains to be guarded," he said. *** [DIAN YULIASTUTI | KORAN TEMPO 3608]
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