Diabetes has emerged as the number one disorder responsible for kidney failure in recent days. As per a study published in Lancet 2017, diabetes is the single most common increasing because cause of kidney failure.
A study from Mumbai confirms that diabetes is the most common factor responsible for development of kidney disease.
Uncontrolled diabetes results in fluctuating, raised levels of blood sugar. This causes the extra workload on the kidneys interfering with filtration in glomeruli.
As a result over a period of time the basement membraneis damaged. Hence, the small amounts of protein (albumin) appear in the urine. Finding albumin in a urine test means that the kidneys are damaged.
All diabetics do not develop kidney disease. Factors that can influence kidney disease development include genetics, smoking, blood sugar control, and blood pressure.
It is important that person keeps both blood sugar and blood pressure under control, the lower the chance of getting kidney disease.
It has been shown that replacing red meat with chicken in the usual diet reduced albumin excretion in urine by 46%. It also reduced total cholesterol, LDL cholesterol, and apolipoprotein B in patients having microscopic albumin excretion.
The diabetic individual must eat a well-balanced diet that includes carbohydrates, protein, and fat. They must avoid the intake of
- Table sugar, honey, molasses and syrup
- Regular soft drinks, fruit drinks (canned or concentrated), and drink mixes with sugar added
- Milkshakes, chocolate milk, hot cocoa mix
- Canned fruits with heavy syrup
To stay healthy when you have diabetes, here’s what to do:
- Keep up your exercise and activity routine.
- Take your medicines as directed.
- Keep a check on blood glucose regularly.
- Keep your blood pressure near normal. Try to keep it under under 140 / 80.
- Keep your blood fats (cholesterol and other blood fats) near normal. Recommended target for total cholesterol is under 200, LDL under 100, HDL above 40 (men) and 50 (women), and triglycerides under 150.
- Do not smoke.
- Avoid drinking alcohol.
- Lose excess weight.
- Check your feet and skin daily.
- Brush and floss your teeth daily.
By Dr. Umesh Khanna
Chairman, Mumbai Kidney Foundation
Trustee, Sapiens Health Foundation
Secondary, Amar Gandhi Foundation