What is the Impact of Diabetes on Your Kidneys

What is the Impact of Diabetes on Your Kidneys?

What is the Impact of Diabetes on Your Kidneys?

We will talk about How diabetes can cause kidney damage.

Regularly eliminating waste products and excess fluid is necessary to ensure that your body continues to function optimally. To accomplish this, you have two bean-shaped kidneys, one on either side of your spine right below your rib cage. The size of each kidney is roughly equivalent to the size of your fist.

Daily, your kidneys filter and recycle around 190 liters of blood back into the circulatory system. Because of this, they produce up to 2 liters of urine, which contains the waste items your body needs to eliminate.

Urine is produced in the kidneys and then transported to the bladder. When your bladder is complete, you will feel the urge to urinate; when you do, the urine and the wastes it contains will exit your body.

Urine is a waste product.

Why is it so important to have healthy kidneys?

Why is it so important to have healthy kidneys

However, the kidneys’ primary function is to filter waste items out of the blood and perform several other essential functions.

They bring about a more consistent composition in your blood.

This is necessary to ensure that your body continues to work correctly.

Your kidneys perform the following functions:

  • they prevent the accumulation of wastes and extra fluids in your body;
  • they remove medications from your body;
  • they stabilize the electrolyte levels responsible for maintaining the fluid balance in your body.
  • generate hormones that assist in (a) maintaining healthy blood pressure, (b) manufacturing red blood cells, (c) producing an active type of vitamin D that maintains your bones strong and healthy
  • produce hormones that help maintain healthy blood pressure (a)

 

How do your kidneys perform the function of filtering your blood?

How do your kidneys perform the function of filtering your blood

The heart pumps approximately five liters of blood every minute when the body is at rest.

The kidneys take in a volume of approximately one liter (20%) for filtration.

Approximately one million functional units, known as nephrons, can be found in each kidney.

Each nephron filters a minimal volume of blood.

Nephrons have two parts: the glomerulus, the actual filter,

And the tubule (a tiny tube). We accomplished the function of the nephron in two stages.

The glomerulus receives blood from the bloodstream of the body.

The glomerulus has pores through which fluid, and waste items can pass,

but these pores are too tiny for blood cells and other giant molecules, like proteins, to pass through.

Someone subsequently transferred the filtered liquid into the tubule, which comprises a lengthy network of ducts. In the tubule, different chemicals and water are added to or taken away from the fluid that has been filtered, depending on the requirements of your body.

After then, the fluid that now contains wastes emerges from the tubule as urine and travels to the bladder to be stored there.

We mainly composed urine of the following substances:

 

  • waste products of metabolism
  • for example, urea and creatinine
  • because of the chemical reactions (like digestion) that maintain the health of your body
  • water
  • electrolytes
  • inorganic chemicals (including sodium, potassium, calcium, chloride, and bicarbonate) that are used by your body to control the amount of fluid it contains

 

Disorders of the kidneys

 

Several factors can contribute to a decline in the efficiency of your kidneys, including:

  • Diabetes is the most common reason for kidney disease.
  • Hypertension is another leading cause of renal disease besides heart attacks and strokes.
  • Glomerulonephritis, which is an inflammation of the kidney’s microscopic filtering units
  • Polycystic kidney disease, which is the most prevalent form of hereditary kidney disease
  • Kidney stones, which are extremely common and excruciatingly painful
  • Urinary tract infections, which most commonly affect the bladder but can spread to the kidneys;
  • Congenital diseases, which involve some problems in the urinary tract;
  • Pain relievers, particularly long-term use of over-the-counter pain relievers;
  • Recreational drugs, such as crack and heroin;
  • Toxins, such as those found in pesticides; and
  • Pain relievers, particularly long-term use of over-the-counter pain relievers.

A high blood glucose level that is not under control and high blood pressure is the most common factor contributing to a decline in renal function. You can do many things to keep your kidneys from failing, and you should do all of them.

 

 

The relationship between diabetes and kidney failure

During the first stage of the filtering process, the glomerulus prevents large molecules and by cells (such as proteins) from moving to the subsequent location.

Diabetes that is not well controlled can cause damage to this system.

When there is a high quantity of glucose in the blood, the kidneys filter excessive blood. The additional labor is taxing on the kidneys, and after several years, the kidneys develop leaks through which protein can pass into the urine.

The constant strain of overwork eventually leads the kidneys to lose their capacity to filter blood and urine. As a direct consequence of this, waste materials accumulate in the blood. You will eventually get end-stage renal illness because your kidneys fail (ESRD).

Uncontrolled high blood pressure leads to chronic kidney damage in a way analogous to that of diabetes.

 

How does one go about diagnosing renal disease?

Kidney disease rarely manifests symptoms until nearly all kidney functions have been lost.

This is because the kidneys exert much effort to compensate for the malfunctioning filters.

The following is a list of some symptoms of renal disease:

A lack of sleep,

A lack of appetite, stomach pain, weakness, and trouble concentrating are all symptoms of this condition. And more frequent urination, especially at night, dehydration can cause several symptoms, including a puffy appearance around the eyes and oedema in the hands and feet.

These symptoms are not exclusive to renal disease and may be related to several other conditions.

Therefore, if you are over the age of sixty-five, if you have diabetes or hypertension, etc. or if a member of your family has chronic kidney disease, get regular checkups with a doctor who can run some easy tests to detect the disease in its earliest stages:

(1) A test to determine protein in the urine… an abnormally high amount of protein in your urine may show that it has compromised your filtering units.

(2) Your glomerular filtration rate (GFR) can be calculated by measuring the amount of creatinine in your blood; creatinine is a waste product of muscular energy generation that builds up in the blood when kidney function is compromised. This test is only one of many that are performed to determine your glomerular filtration rate (GFR), which is a measurement that determines how efficiently your kidneys are processing waste products and how well your kidneys are functioning overall.

The results and other factors will determine your GFR or how well your kidneys are functioning.

(3) A blood test measures blood urea nitrogen, commonly referred to as BUN. BUN is another waste that accumulates in your circulation when the function of your kidneys is decreased.

How should renal disease be treated?

The essential thing is to keep a close watch on your blood glucose levels and blood pressure measurements. When this is done, it can help avoid kidney disease or keep it from becoming worse if it already exists. If you already have kidney disease, it can help prevent it from worsening.

Self-care

Maintaining a healthy blood glucose level and maintaining a healthy blood pressure are two of the most important treatments for treating renal disease.

Your blood glucose levels can be kept under control by adhering to the Beating Diabetes Diet, which includes the following steps:

A plant-based diet that excludes eggs and all dairy products and contains natural (non-processed) foods that are low in sugar, low in fat, low in salt, high in fiber, have a low glycemic index, contains only a little amount of meat, and are washed down with much water (milk, cheese etc.)

 

We can keep your blood pressure under control by maintaining the same diet.

The patient’s blood pressure can significantly affect the rate at which the disease develops. It just takes a slight elevation in blood pressure for renal disease to deteriorate rapidly. You can do four things to reduce your blood pressure: reduce salt in your diet, lose weight, steer clear of alcoholic beverages and cigarette products, and exercise frequently.

Suppose you can get your diabetes and hypertension under control. In that case, you will halt, or at least reduce, the progression of the damage to your kidneys, and you may even reverse the damage already done.

 

Medicines that bring blood pressure down

If you still have issues with your blood pressure after changing your food and lifestyle, your doctor may write you a prescription for blood pressure medications to help you control your blood pressure.

There is over one type of medication designed to treat high blood pressure. However, not all of them are created equal regarding their benefits for people with diabetes. Some of them either increase the amount of glucose in the blood or cover up some symptoms of low blood glucose. Using blood pressure medications known as ACE inhibitors is typically recommended for diabetic patients by medical professionals.

It showed ACE inhibitors for most diabetics, hypertensive, and those who suffer from renal disease. Recent research has shown Because drugs that block the action of ACE (angiotensin-converting enzyme) are beneficial, such as captopril and enalapril, they can decrease the progression of renal disease and blood pressure. Even persons who do not have high blood pressure can benefit from taking these medications.

Low protein diet

The kidneys have to work much more complicated when they are processing protein. Diets low in protein are one treatment that some medical professionals would provide patients with high protein levels in their urine.

A diet low in protein can help lower the quantity of protein excreted in urine after passing through the filtering process. However, you must always consult with a member of your healthcare team before beginning a diet low in protein.

Another helpful tip is to focus on the protein that comes from plants rather than the protein that comes from animal products (meat, fish, and dairy), as this type of protein is more taxing on the kidneys.

Renal failure of end-stage proportions

End-stage renal disease is a condition in which the kidneys are completely and irreversibly damaged (ESRD).

Uremia is the medical term for the condition in which the kidneys entirely cannot function, causing the body to become bloated with excess water and waste products. Because your body depends on having clean blood to operate correctly, you will feel exhausted. Your hands and feet may swell up.

Uremia that is not treated can cause seizure or coma, and in the end, it will lead to death within only a few months at the very most. To prevent this from happening, you will either need to get a kidney transplant or go through dialysis.

Dialysis

When your kidneys can no longer filter waste materials and excess fluid from your blood, an artificial process called dialysis will accomplish it for you. It can perform dialysis in several ways, the most common of which are hemodialysis and peritoneal dialysis.

The hemodialysis process involves passing your blood through a filter that eliminates waste items from the body. Your body will receive the purified blood once it has been processed. In most cases, it carried hemodialysis out at a dialysis center three times each week for three to four hours at a time.

During peritoneal dialysis, it inserted a fluid into the patient’s belly. This fluid absorbs the waste materials that are produced by your blood. After a few hours, it will empty the liquid holding the waste products from your body out. After that, it poured a fresh bag of fluid into the abdomen through the abdominal opening.

We can do the dialysis process in peritoneal hemodialysis in the patient’s home. Every four hours, patients on CAPD need to have their fluid levels checked and replaced.

We can also perform peritoneal dialysis in a manner known as continuous cycling peritoneal dialysis, which is yet another method of the procedure (CCPD). There is also continuous cycling peritoneal dialysis (CCPD), which is another type of peritoneal dialysis. We can also perform peritoneal dialysis in a manner known as endless cycle peritoneal dialysis, which can be done in a technique known as continuous cycling peritoneal.

A further method of peritoneal dialysis, known as continuous cycling peritoneal dialysis (CCPD), can be carried out during the night using a machine that automatically empties and refills the abdomen. We also know this method as nocturnal peritoneal dialysis.

Kidney transplant

Surgery is required for a kidney transplant, during which your sick kidneys will be removed, and we will take a healthy kidney from a donor and place it in its place.

It’s possible that the kidney came from an unknown donor who passed away recently, or it might have come from a living individual, most likely a relative. It is essential that the kidney it gave you be a suitable match for your own body. Your immune system will have a lower chance of rejecting the replacement kidney if it is “more like” you in terms of its genetic makeup.

Your immune system will mount an attack against anything it does not perceive as a typical component of your body to keep you safe from sickness. If your immune system detects that a kidney is too “foreign,” it will reject it.

To help fool your immune system and prevent it from rejecting the donated kidney, you must take certain medications for the rest of your life as a prerequisite.

 

Possible treatments in the near and far future for kidney disease

The field of regenerative medicine has the potential to completely mend injured tissues and organs, providing hope for patients whose illnesses are currently untreatable and opening up new treatment options.

One way in regenerative medicine is to boost the body’s inherent ability to heal.

Another strategy is using healthy cells, tissues, or organs from a live or deceased donor to replace ones that have been damaged.

  • Restoring tissue and organ function by delivering particular types of cells or cell products to damaged organs or tissues to heal such tissues and organs

It is possible that in the not-too-distant future, new procedures that can regenerate tissues and organs will be created to assist reduce the advancement of chronic renal disease in patients who suffer from this condition.

 

 

The main point to be learned

  • The kidneys are crucial organs for maintaining your blood’s cleanliness and the chemical equilibrium of your body.
  • Diabetes and hypertension, both quite common conditions, often cause kidney failure.
  • A patient with chronic renal illness has a higher risk of experiencing a cardiovascular event, such as a heart attack or stroke.
  • The progression of kidney disease is undetectable in its early stages because it occurs so gradually.
  • A physician can diagnose kidney disease by examining the quantity of protein in a patient’s urine, estimating the patient’s glomerular filtration rate (GFR), which is a measurement of renal function, and assessing the amount of blood and urine protein (BUN) in a patient’s blood.
  • It can slow the progression of kidney disease if they keep blood glucose levels and blood pressure under tight control, but it is not always possible to reverse the condition once it has occurred.
  • People who have end-stage renal disease, sometimes known as the complete loss of kidney function, have the potential to live longer if they undergo transplantation or dialysis.
  • If you already have kidney disease and are in the early stages, taking care of your blood sugar, blood pressure, and cholesterol levels and quitting smoking will help protect your kidney function for many years.

Renal function can be preserved if we catch a long kidney illness early on.

 

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