Kidney disease is on the increase. Diabetes is the major cause of this increase. As age advances kidney function deteriorates. More so in Diabetes as the poor control of blood sugar gradually damages kidney. High level of blood sugar is the culprit. High blood pressure also contributes to kidney damage. It is not the medicines used for diabetes treatment that damages kidneys. Poorly treated Diabetes contributes to kidney damage. Damaging kidney also cause to increase blood pressure. It is a total mess in the body system.
The presence of albumin in urine - micro albuminuria is an early evidence of kidney disease. The detection and treatment of micro albunuria can arrest or slow down kidney disease in diabetes. So test for albuminuria at the time of diagnosis of Diabetes and also every year. Normally urine albumin is less than 30 mgs in 24 hours. 30 to 300 is micro albuminuria. Above 300mgs is overt albuminuria. In order to prevent and control kidney damage keep the fasting blood sugar at 110 to 120mgs/dl. Postprandial at 140 mgs and HBA1C at 7%. .
Diabetic kidney disease to a large extend is preventable and controllable. Treatment of nephropathy is expensive and life is agonizing both for the patient and the relatives.Be watchful.