#Diabetic Kidney Disease

[diabetickidneydiseasehealth]

Clinical Diagnostic Recommendations for DKD

Exclusion of Non-Diabetic Kidney Diseases

The guidelines from the American Diabetes Association (ADA) in 2022, the Kidney Disease Improving Global Outcomes (KDIGO) organization in 2020, and the Asia-Pacific Society of Nephrology (APSN) in 2020 all assert that Diabetic Kidney Disease (DKD) refers to the occurrence of proteinuria and/or renal function decline in diabetic patients, with the exclusion of kidney damage caused by other underlying reasons.

In actual clinical diagnoses of DKD patients, a subset frequently presents with coexisting non-diabetic kidney diseases (NDKD). This may include scenarios where diabetes or DKD coexists with conditions like IgA nephropathy, membranous nephropathy, lupus nephritis, hepatitis B-related nephritis, vasculitis-related kidney injury, and even renal amyloidosis.

A meta-analysis incorporating 48 studies, involving 4,876 cases of kidney biopsies in DKD patients, revealed a non-diabetic kidney disease (NDKD) occurrence rate of approximately 36.9%. The occurrence rate of diabetic nephropathy (DN) combined with non-diabetic kidney disease (NDKD) was about 19.7%. Consequently, the guidelines recommend that before diagnosing DKD in type 2 diabetes patients, a comprehensive assessment, incorporating medical history, clinical manifestations, relevant laboratory tests, especially serum immunology, and imaging examinations, should be conducted to rule out non-diabetic kidney diseases (NDKD). Only after excluding NDKD can a diagnosis of DKD be confirmed.

Measurement of Urinary Albumin/Creatinine Ratio (UACR) and eGFR

Internationally, guidelines from organizations such as the American Diabetes Association (ADA) in 2022, the Kidney Disease Outcomes Quality Initiative (KDOQI) in 2007, the 2021 Clinical Diagnosis and Treatment Guidelines for Diabetic Kidney Disease, and the 2021 edition of the Chinese Guidelines for the Prevention and Treatment of Diabetic Kidney Disease recommend the repetition of UACR and eGFR measurements three times within a 3–6 month period. A clinical diagnosis of Diabetic Kidney Disease (DKD) is considered when, during these repeated measurements, UACR increases (>30mg/g) and/or eGFR falls below 60mL/min/1.73m² on two or more occasions. However, it is important to note that factors such as intense physical activity, infection, fever, congestive heart failure, etc., can cause transient proteinuria.

Taking into account domestic and international guidelines, after excluding factors causing transient proteinuria, a diagnosis of DKD can be established if, during the 3–6 month period with three repeated measurements, UACR increases (>30mg/g) and/or eGFR is consistently below 60mL/min/1.73m² on two or more occasions.

In clinical practice, some DKD patients may not meet the diagnostic criteria based on urine tests, but their eGFR is below 60mL/min/1.73m². The 2021 Clinical Diagnosis and Treatment Guidelines for Diabetic Kidney Disease, the Chinese Guidelines for the Prevention and Treatment of Diabetic Kidney Disease (2021 edition), and the 2022 ADA guidelines suggest that after excluding factors such as infection, obstructive kidney disease, medications, malignant hypertension, and other causes of acute kidney injury, a diagnosis of normoalbuminuric diabetic kidney disease (NADKD) can be made if, during the 3–6 month period with three repeated measurements, urine tests are normal but eGFR remains below 60mL/min/1.73m² on two or more occasions.

In a 2021 meta-analysis of 31 studies (including 18 cross-sectional studies, 11 cohort studies, and 2 case-control studies), the overall prevalence of normoalbuminuric diabetic kidney disease (NADKD) in patients with type 2 diabetes and chronic kidney disease (CKD) was 45.6%. Within the DKD patient population, the prevalence of NADKD was 24.7%. A long-term follow-up study also found that regardless of proteinuria, diabetic patients with CKD stage 3 or later could experience varying degrees of further decline in kidney function after 10 years.

[biglesbiandragon]

Long story short, my old lady Athena went in for surgery to remove a suspected cancerous mass in her mouth and instead they found...

A small piece of headphone cable embedded into her jaw.

She has 3 teeth and she managed to pull this off. This is the only time I've heard a vet say "I've never seen anything like this before" and it be a good thing.

Let's give it up for my invincible old lady 🙌

[maksplaygroundsims2]

Next Year

I don't generally post a lot about myself on a personal level here on this blog...but if you've watched any of my youtube videos in the past or watched a livestream or two, you know I do talk about stuff often enough with what's sorta going on in my life at the time. I made a video three years ago about my health situation where I shared that I went into kidney failure due to my type 1 diabetes and I started dialysis which was leading me to get onto the transplant list for a kidney and pancreas. Well, as I said that video was made 3 years ago... I know I should probably sit down and make a new one updating people with what's going on but I haven't gotten around to doing so. I got some news last Friday that I have been officially listed on the transplant list. I'm a serious mix of emotions when it comes to this huge life altering surgery. One of the hardest things that I've struggled with regarding this whole situation is having to swallow the fact that my life will NEVER be the same after this. I will always be on anti-rejection meds which come with a HOST of horrible side affects that I will have to get used to for the rest of my life (i'm only 32.), my immune system will be severely compromised because of said medication, and I may have to accept that I can never have biological children. The thing is, this surgery can happen at RANDOM, I can get this call any time of day or night and I will have to pack up and get in the car for a 6-8hr drive to the hospital that I am receiving this surgery, and then for the next three months I will be there in that city because of the weekly blood work and med adjustments they will have to do. Because I have been on dialysis for three years and because it's two organs, it bumps me up on the list a lot, which means I just don't know when the call is going to happen, and that by itself is setting my anxiety off whenever I think about it too much. I'm not entirely sure what the point of this post is for, however I just want people to know that I do have plans to start making content on youtube once I get Linux on my desktop gaming pc, as it sims to be one of the only ways I'll be able to play my game without ridiculous crashing or pink soup and my bestfriend is coming in the next week to help me with it because he's a linux expert and I'm going to do a test run on an old laptop. But once that is cleared up I plan to get back to content and streaming.

I also landed myself a job in my field of study(social work), It's only 1-2 shifts a week and it's a work from home job and I officially start in January, but, this whole being listed sorta throws a wrench in both the job plans and the content plans because I know it will be some time till I'm back on my feet.. apparently it takes about a year for everything to get to some sort of normalcy. I wanted to post that here because I do have quite a few followers here that do interact with a lot of my sims posts, so I did want to give a heads up, that if I just randomly stop posting, it's not because I've forgotten this blog. I love this blog, it means a lot to me and the people who interact with my posts and reblog my reblogs, like my posts, and interact with me, mean a lot. I hope you all have a SAFE and great Holiday and New year if you celebrate! Take care of yourselves, and your loved ones!! 💚💚💚💚💚

[pathetic-gamer]

job interview in an hour and a half, please begin casting spells for me shortly 🙏

[jojojooo33]

googling what longterm illnesses can have little to no symptoms (or at least, not ones that an 8-9 year old would notice) so I can better headcanon what 2003 Trisha might've had

[dudeshusband]

i swear my family has a history of everything. you name it, we have it.

[newtness532]

oh i really hope the teacher is kind enough to not put kidney disease on the exam. and hoping even more that she doesn't hate us so much that she'll put kidney disease and diabetes together

[neosciencehub]

The Rise of Lifestyle Diseases in Urban India: A Case Study from Hyderabad @neosciencehub #Hyderabad #LifestyleDiseases #UrbanIndia #HHFStudy #NonCommunicableDiseases #neosciencehub

[mdmuyourhealthisbetter]

Your Health is Better Series - Dealing with Diabetes (1)

What is Blood Sugar?

Blood sugar, also known as blood glucose, is the amount of sugar present in your blood. It comes from the food you eat, especially carbohydrates like bread, rice, pasta, and fruit. Insulin, a hormone produced by your pancreas, helps regulate blood sugar by allowing it to enter your cells for energy. In people with diabetes, the body either doesn’t produce enough insulin or doesn’t use it properly, leading to high blood sugar levels, which can cause various health problems over time.

Why is Regular Monitoring Important?

For individuals with diabetes, regular monitoring of blood sugar is essential to ensure it stays within a healthy range. If blood sugar levels are too high (hyperglycemia) or too low (hypoglycemia), it can lead to serious complications, such as heart disease, nerve damage, kidney problems, or even vision loss.

By checking your blood sugar regularly, you can:

Detect Patterns: Monitoring helps you identify patterns in your blood sugar levels. For instance, you may notice that your blood sugar spikes after eating certain foods, or it drops after physical activity. This can guide you in making healthier food choices and adjusting your lifestyle to better manage diabetes.

Adjust Treatment: If your blood sugar is too high or too low, it’s important to adjust your diabetes treatment plan. This may involve changing your diet, increasing physical activity, or modifying your medication under the guidance of your healthcare provider.

Prevent Emergencies: Regular monitoring allows you to catch blood sugar levels that are too high or too low before they become dangerous. If blood sugar goes too low (hypoglycemia), it can cause confusion, dizziness, and even loss of consciousness. If it’s too high (hyperglycemia), it can lead to long-term damage to organs.

How Often Should You Monitor Your Blood Sugar?

The frequency of monitoring depends on various factors such as the type of diabetes you have, your treatment plan, and how well your blood sugar is controlled. If you have type 1 diabetes or are on insulin therapy, you may need to check your blood sugar multiple times a day, including before meals and at bedtime. If you have type 2 diabetes and are managing it through diet and oral medications, you may need to check it less frequently.

How to Monitor Blood Sugar?

To monitor your blood sugar, you’ll use a device called a glucometer or glucose meter. It works by pricking your fingertip to get a small blood sample, which is then placed on a test strip inserted into the meter. The meter gives you a reading of your blood glucose level. Some newer devices, like continuous glucose monitors (CGMs), provide real-time readings throughout the day without needing to prick your finger.

[diabetickidneydiseasehealth]

Breakfast Choices for Individuals with Diabetic Kidney Disease

Managing daily life and dietary choices can be challenging for those dealing with diabetic kidney disease, a common chronic condition. Breakfast, often hailed as the most important meal of the day, holds particular significance for individuals living with both diabetes and kidney disease. This article explores dietary strategies for the breakfast of individuals with diabetic kidney disease, aiming to assist them in better managing their condition and enhancing their overall quality of life. Whether you are personally managing diabetes or a concerned family member, the information provided here can be valuable to you.

1.Egg Custard with Mixed Vegetables

Seafood Egg Custard (60g egg, 10g dried shrimp, 2g sesame oil)

Colorful Vegetable Mix (150g, including purple kale, bell peppers, and leafy greens)

Whole Wheat Bread (2 slices, 50g)

1 cup of milk (250ml)

This meal offers a diverse array of vegetables and high-quality protein from seafood and eggs, providing a well-rounded nutritional profile.

2.Broccoli with Chicken

Broccoli Salad (150g broccoli, a pinch of salt, a drizzle of sesame oil)

Chicken Breast Slices (50g chicken breast, 2ml light soy sauce, a touch of sesame oil)

1 cup of soy milk (300ml)

Half a Red Date and Sweet Potato Steamed Bun (30g small bun, 1 red date, 20g sweet potato flour, made from a mixture of wheat and sweet potato flour, fermented and steamed)

This meal includes a variety of vegetables, lean protein from chicken, and whole grains. Adjust the portion of chicken and broccoli for those with smaller appetites.

3.Seaweed Rice Roll with Yogurt

Seaweed Rice Roll (150g cooked rice, 1 sheet of seaweed, half a carrot, a little ham, 1 egg, a moderate amount of sesame oil, a pinch of black sesame seeds, half a cucumber, and a lettuce leaf)

1 cup of unsweetened yogurt

The seaweed rice roll combines the main carbohydrate source with various vegetables. Paired with yogurt, it becomes a convenient and nutritious breakfast option, especially suitable for individuals with diabetes on the go.

4.Oatmeal Porridge

Oats are renowned for their stomach-nourishing and lung-moistening properties, helping prevent post-meal high blood sugar. Oatmeal porridge, often referred to as the “longevity porridge,” is favored by many centenarians. Adding millet to the oats creates a fragrant and soft porridge with calming and sleep-enhancing effects, along with stomach nourishment and lung moisturization. Oats are high in dietary fiber, providing a satisfying feeling of fullness without causing spikes in blood sugar levels, making it an excellent choice for preventing post-meal high blood sugar.

[odditywellbelove]

Hello ! I've Returned To Tumblr ! I Have Some Unfortunate News . . .

My Disabled Mother Has Developed Chronic Kidney Disease Stage 4 She's Also Missing An Arm, Which She Has Been Missing Since Birth, And She's Had Type 1 Brittle Diabetes. I Have Made A Collection To Support My Mother On My Throne Wishlist, I Want To Get Her Things She Needs, As Well As Some Sweet Little Gifts I Want Her To Know How Loved She Is, And How Many People Are Sending Gifts To Her I Will Post Photos Of Her With Her Received Gifts, And I Will Occasionally Post Videos Of Her Reading Letters Or Comments Wishing Her Well ! Please Do Support My Mother In Any Way You'd Like, Keto Friendly Snacks Are Listed On My Mother's Collection, As Well As A Few Clothing Items And Quality Of Life Items.

Click Here For Mother Throne Collection Click Here For Main Throne

[alfakidneycare]

[medicomunicare]

Cardiovascular benefits of SGLT2 and GLP-1 drugs in diabetic patients

Metabolism in diseases: the revolution In recent years, sodium-glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide-1 (GLP-1) receptor agonists have revolutionized the treatment of type 2 diabetes, offering not only improved glycemic control but also important cardiovascular benefits. Large clinical trials have shown that these drugs reduce the risk of major adverse cardiovascular…

[ultimate-healing-blog]

Finding the Top Treatments for Type 2 Diabetes

Read full article on-line: #Type2Diabetes #DiabetesManagement #Metformin #SGLT2Inhibitors #GLP1Agonists #DiabetesMedications #HealthTips #BloodSugarControl #Wellness #ChronicConditions #DiabetesAwareness #HealthyLiving #WeightManagement #HeartHealth

When considering non-insulin medications for managing type 2 diabetes, patients have a diverse array of options. This article explores these medications and the key factors to help determine which treatment may be the most suitable for you. Non-Insulin Medications for Type 2 Diabetes A variety of medication classes are prescribed for effectively treating type 2 diabetes: Metformin Metformin…

[biology-geology-beaches-india]

TSRNOSS, p 531.