#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.

[erodediabetesfoundation]

Diabetic Kidney Disease - Various Symptoms and its Causes

[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 🙌

[pathetic-gamer]

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

[dudeshusband]

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

[cbirt]

Scientists Develop Novel Machine Learning Models to Predict Comorbidities at an Early Stage of Type 2 Diabetes Mellitus

Type 2 Diabetes Mellitus (T2DM), a recognized risk factor for heart failure (HF) and cardiovascular illnesses such as chronic kidney disease (CKD), was diagnosed in an estimated 537 million people worldwide.

In order to manage CKD and HF in individuals with early stages of T2DM, a complete treatment strategy is preferred. Early and better detection of these disorders can improve results. But recent research indicates that T2DM patients’ CKD and HF are not properly recognized, which results in increased rates of disease progression and a worse prognosis.

Researchers at AstraZeneca and Ono Pharmaceuticals created a model that could predict the likelihood that individuals with T2DM who had no prior history of CKD would develop CKD/HF. This study is a major step toward early and better diagnosis of CKD and HF in patients with T2DM.

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[eastberlin]

The face of an old man who is collecting old man diagnoses like Pokémon but is very happy about the fact that meds = food.

[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

[listonic]

Support kidney function in diabetes with the Diabetic Meal Plan for Kidney Disease. This plan offers meals like egg white scrambles, vegetable soups, and fruit salads, each designed to be low in sodium and phosphorus while managing blood sugar levels.

[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.

[mimyclub-blogs]

How to Avoid Complications of Diabetes.

Managing diabetes requires monitoring different aspects including complications, in order to sustain good health. Whether it’s keeping track of blood sugar levels or embracing lifestyle adjustments, taking proactive steps can greatly mitigate the likelihood and severity of diabetes-related issues. Kidney damage Kidney Damage (Diabetic Nephropathy): Over time, high blood sugar levels can damage…

[hospitalamar]

Decoding Biochemistry Test Reports: A Patient’s Guide in Patiala

At first glance, biochemistry test reports in Patiala might seem like a jumble of unfamiliar terms and numbers. But these reports provide valuable insights into your health. At Amar Hospital in Patiala, we understand that many patients find test reports intimidating, and we're here to help you decode them.

Biochemistry tests typically assess various enzymes, proteins, hormones, and electrolytes in your body. These tests can check how well your liver, kidneys, and heart are functioning. For example, liver enzymes like ALT and AST provide insight into liver health, while blood urea nitrogen (BUN) and creatinine levels reveal kidney performance. These tests help identify conditions like diabetes, kidney disease, or liver dysfunction early on, so timely treatment can be initiated.

At Amar Hospital, we emphasize the importance of understanding your test results. Our doctors walk you through each section of the report, explaining what the figures mean for your health. If you're ever unsure about the significance of certain results, don’t hesitate to ask our experts for clarification.

By staying informed about your biochemistry test results, you can take proactive steps to improve or maintain your health. For instance, if your cholesterol levels are high, your doctor may recommend lifestyle changes like adopting a healthier diet or exercising more. Being well-informed is the first step toward better health, and at Amar Hospital, we’re committed to making sure you feel confident in your healthcare decisions.

[springhillprimarycare]

Internist doctor specializing in chronic care in Port Richey, FL

Spring Hill Primary Care is your trusted partner for comprehensive chronic care in Port Richey, Florida. Led by the skilled Dr. Lakshmi Kolli, M.D., our practice is dedicated to providing personalized and compassionate care to patients with chronic conditions.

Dr. Kolli's Expertise

Dr. Kolli brings over 14 years of experience in internal medicine, specializing in the management of chronic diseases. Her commitment to patient care and her extensive knowledge make her a valuable asset to the Port Richey community.

Our Chronic Care Services

At Spring Hill Primary Care, we offer a wide range of chronic care services, including:

Diabetes Management: Tailored treatment plans to manage blood sugar levels and prevent complications.

Hypertension Control: Effective strategies to lower blood pressure and reduce the risk of heart disease.

Heart Failure Management: Comprehensive care to improve heart function and quality of life.

Arthritis Treatment: Pain management and lifestyle modifications for various arthritis conditions.

Asthma and COPD Care: Strategies to manage respiratory symptoms and improve lung function.

Chronic Kidney Disease Management: Monitoring kidney health and preventing progression.

Weight Management: Personalized plans to achieve and maintain a healthy weight.

Why Choose Spring Hill Primary Care

Personalized Care: We take the time to understand your unique needs and develop a customized treatment plan.

Comprehensive Care: Our team of healthcare professionals provides comprehensive care for all your chronic health needs.

State-of-the-Art Facilities: We utilize the latest medical technology and equipment to deliver the highest quality care.

Convenient Location: Our Port Richey clinic is easily accessible and offers flexible appointment times.

Patient Education: We empower our patients with knowledge about their conditions and how to manage them effectively.

Schedule Your Appointment Today

If you're looking for a dedicated and experienced internist specializing in chronic care in Port Richey, FL, look no further than Spring Hill Primary Care. Contact us today to schedule your initial appointment and experience the difference our personalized care can make.

Address: 10500 Spring Hill Dr, Spring Hill, FL 34608 | Phone: (352) 835-7155

[vaidyaslaboratory]

How Diabetes Can Lead to Heart and Kidney Failure: Symptoms, Risks, and Prevention

Diabetes silently increases the risk of both heart and kidney failure, leading to life-threatening complications. In this blog, we explore how high blood sugar levels damage vital organs, the early warning signs of heart and kidney failure, and the importance of regular tests for prevention. Learn about essential tests like HbA1c, NT-proBNP, and Urine Microalbumin, and discover how Dr. Vaidya’s Diabetic Heart & Kidney Disease Prevention Package, available at ₹2999, can help protect your health.