Ref: CHB/HB/55/16                                                                    



10th March is the day internationally recognized as World Kidney Day. The aim of this Special Bulletin is to promote awareness of health aspects related to Kidney which is one of the most essential organs in the human body. Kidney related health issues are on the rise due to various factors such as improper diet and other health conditions such as diabetes, blood pressure. These factors are affecting individuals irrespective of age.
The Central Health Board (CHB) wishes to utilize this opportunity to encourage community members to promote education regarding health concerns, routine testing for kidney function to allow early detection in case of any conditions and to generally create a healthy lifestyle. Please help us spread the message and assist us in building a healthier community.

What does Diabetes do to your Kidney 

With diabetes, the small blood vessels in the body are injured. When the blood vessels in the kidneys are injured, kidneys cannot clean the blood properly. The body will retain more water and salt than it should, which can result in weight gain and ankle swelling. A person may have protein in the urine. Also, waste materials will build up in the blood. It may also cause damage to nerves in the body. This can cause difficulty in emptying the bladder. The pressure resulting from full bladder can back up and injure the kidneys. Also, if urine remains in the bladder for a long time, it can develop an infection from the rapid growth of bacteria in urine that has a high sugar level.

How many Diabetic patients develop Kidney Disease?

About 30 percent of patients with Type 1 (juvenile onset) diabetes and 10 to 40 percent of those with Type 2 (adult onset) diabetes eventually will suffer from kidney failure. 

What are the Early Signs of Kidney Disease in Patients with Diabetes?

The earliest sign of diabetic kidney disease is an increased excretion of albumin in the urine. This is present long before the usual tests done in your doctor's office show evidence of kidney disease, so it is important for you to have this test on a yearly basis, or more frequently. Weight gain and ankle swelling may occur. You will use the bathroom more at night. Your blood pressure may get too high. A person with diabetes should have his/her blood, urine and blood pressure checked at least once a year, or more frequently. This will lead to better control of the disease and early treatment of high blood pressure and kidney disease. Maintaining control of diabetes can lower one’s risk of developing severe kidney disease.

What are the Late Signs of Kidney Disease in Patients with Diabetes?    

As kidneys fail, blood urea nitrogen (BUN) levels will rise as well as the level of creatinine in the blood. One may also experience nausea, vomiting, a loss of appetite, weakness, increasing fatigue, itching, muscle cramps (especially in your legs) and anemia (a low blood count). One may find less need for insulin. This is because diseased kidneys cause less breakdown of insulin. If you develop any of these signs, call your doctor. 

How is Kidney failure treated in Diabetic Patients?
Three types of treatment can be used once the kidneys have failed: 

  1. Kidney Transplantation.
  2. Haemodialysis.
  3. Peritoneal Dialysis.

What is the Future outlook for Patients with Diabetes?
Today, more and more research dollars are spent on diabetes research. Hopefully, the prevention and cure of diabetes is in our future. In the meantime, you can manage your diabetes better with: 

  • Home monitoring of your Blood Glucose levels.
  • Maintaining an awareness of controlling your blood pressure & possibly monitoring your pressure at home.
  • Following your Special Diet.
  • Regular Exercise – minimum 45 minutes daily brisk walk. 

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Please take good care of your kidneys – Vital organ in your body

“Community’s health – CHB’s priority”

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