#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 🙌

[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

[tampabayendocrine]

Diabetes Management and Care in Pinellas Park: A Comprehensive Guide

Managing diabetes effectively is crucial for maintaining a high quality of life. Whether you are newly diagnosed or have been managing diabetes for years, having access to reliable resources and professional care in your local area makes a significant difference. For residents of Pinellas Park, Tampa, St. Petersburg, and the surrounding Florida communities, this guide offers essential insights into diabetes management and care.

Understanding Diabetes: A Quick Overview

Diabetes is a chronic condition that affects how your body processes blood sugar (glucose). It comes in several types:

Type 1 Diabetes: An autoimmune condition where the body stops producing insulin.

Type 2 Diabetes: The most common form, where the body doesn’t use insulin properly.

Gestational Diabetes: A temporary condition that develops during pregnancy but may increase the risk of Type 2 diabetes later.

Regardless of the type, managing diabetes effectively is key to avoiding complications like cardiovascular disease, neuropathy, and kidney problems.

Why Local Diabetes Care Matters

Seeking local healthcare providers ensures timely access to treatments and resources. Living in areas like Pinellas Park, Tampa, or St. Petersburg, you benefit from a range of specialized clinics, pharmacies, and support groups dedicated to diabetes management. Local providers understand the community’s specific challenges, including Florida’s lifestyle factors, such as climate and access to fresh, healthy food.

Essential Components of Diabetes Management

1. Personalized Medical Care

In Pinellas Park and nearby areas, you’ll find clinics that specialize in diabetes care. Look for endocrinologists, dietitians, and certified diabetes educators (CDEs) who can help craft a plan tailored to your needs.

Key Local Resources:

Pinellas Park Medical Center

Tampa General Hospital Diabetes Center

St. Petersburg Endocrinology Specialists

2. Diet and Nutrition

A balanced diet is foundational for diabetes management. Florida’s abundant fresh produce — like citrus fruits, avocados, and leafy greens — can be a staple in a diabetes-friendly diet. Work with a local dietitian to develop a meal plan.

Tips for Meal Planning:

Focus on low-glycemic-index foods.

Incorporate lean proteins like fish, a staple in Florida cuisine.

Stay hydrated, especially in Florida’s hot climate.

3. Exercise and Physical Activity

Regular exercise helps regulate blood sugar levels. Pinellas Park and nearby areas have excellent parks and recreational facilities, such as Freedom Lake Park and Sawgrass Lake Park, where you can walk, jog, or bike in a beautiful outdoor setting.

Recommended Activities:

Daily 30-minute walks

Yoga or tai chi classes

Water aerobics at local community pools

4. Medication and Monitoring

Adhering to prescribed medications and regularly monitoring blood sugar levels is critical. Pinellas Park residents have access to trusted pharmacies and healthcare centers for supplies.

Local Pharmacies:

Walgreens on Park Boulevard

Publix Pharmacy in Pinellas Park

Local Support for Diabetes Management

Living with diabetes can be overwhelming without a support system. Fortunately, there are several support groups and community programs in the Tampa Bay area:

Diabetes Support Group at St. Anthony’s Hospital in St. Petersburg

Pinellas County Health Department Educational Workshops

Online Forums for Florida Residents with Diabetes

Advanced Treatment Options in Pinellas Park

Emerging technologies and treatments are available locally, including:

Continuous Glucose Monitoring (CGM): Devices like Dexcom and FreeStyle Libre are widely available at clinics and pharmacies.

Insulin Pump Therapy: Consult a specialist in Tampa or St. Petersburg for advanced insulin delivery systems.

Telehealth Services: Many providers now offer remote consultations, perfect for busy schedules.

Preventing Complications: What You Can Do

Proactive care helps prevent diabetes complications. Steps include:

Regularly visiting your healthcare provider for A1C tests.

Scheduling annual eye and foot exams with specialists in Pinellas Park or nearby.

Managing stress levels with mindfulness techniques or therapy.

Choosing the Right Care Provider

When selecting a diabetes care provider, prioritize credentials, accessibility, and patient reviews. Pinellas Park and the greater Tampa Bay area offer numerous options, ensuring you’ll find a provider who meets your needs.

Conclusion: Living Well with Diabetes in Pinellas Park

Effective diabetes management is a journey, not a destination. With the right combination of medical care, lifestyle adjustments, and community support, residents of Pinellas Park, Tampa, and St. Petersburg can lead healthy, active lives. By leveraging local resources, including healthcare providers and community programs, you’ll be well-equipped to manage your diabetes with confidence.

For more information, contact local diabetes specialists or visit a community health center near you. Managing diabetes doesn’t have to be a solo journey — help is just around the corner.

Address: 6229 66th St N, Pinellas Park, FL 33781 | (727) 623–9913

[simplenutrition1]

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…

[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.

[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.

[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