Study shows high rates of kidney disease among adults with diabetes

MedicalXPress / National University of Ireland, Galway / BMJ Open Diabetes Research & Care ^ | June 14, 2021 | Tomás P Griffin et al.

[ConservativeMind]

Some 42% of patients attending a dedicated diabetes clinic have signs of established chronic kidney disease, the first detailed research of its kind in Ireland has revealed.

The study involved more than 4,500 patients in the west of Ireland.

The findings suggest that, despite careful medical management, a relatively high proportion of people with diabetes in Ireland are developing chronic kidney disease over time and are at risk of kidney failure and other complications of poor kidney function.

Diabetes is now the number one cause of chronic kidney disease and kidney failure worldwide.

At least one in 15 people in Ireland has diabetes, three quarters of whom are adults with type 2 diabetes.

Professor Griffin added: "Worryingly, many people with diabetes are unaware of the earliest evidence of diabetic kidney disease that can be identified in their blood and urine tests. This research shines a light on the need for greater awareness of these tests during the early stages of diabetes management and more collaborative care by diabetes and kidney specialists."

Professor Francis Finucane, co-author on the study and consultant endocrinologist specializing in the management of obesity and diabetes at Galway University Hospitals, said: "The more we can do to prevent type 2 diabetes and the factors that contribute to it by encouraging healthier diet and physical activity habits, the better our chances of reducing the burden of kidney disease."

[ConservativeMind]

If you are currently pre-diabetic or diabetic, it is very important to be aware of your current kidney health and take steps to stop all further damage.

Kidneys have few repair mechanisms to fix damage, although early diet change has been shown to fully recover such damage.

[Larry Lucido]

Well, I’m sure that the same things that give you diabetes also cause other bad things. Cut out the excess carbs and sugars and I’ll bet that for vast numbers of folks, a lot of the rest will be alleviated to a great extent.

[DuncanWaring]

Hasn’t this been known for decades?

[corkoman]

No - this has been known for centuries.

[Delta 21]

Not in Ireland, I guess.

[poinq]

I am not reading whether this is type 1 or 2. They are totally different diseases. Type two is easy, stop eating carbs. Type one is to lower your carbs as much as possible and use less insulin.

[LadyDoc]

This is not new news.

Diabetes causes kidney failure and early kidney failure causes high blood pressure which contributes to kidney failure. Taking an ace1 or ace2 blood pressure medicines slow down the development.

25 years ago we screened our diabetics by checking for small amounts of protein in the urine and if present kept their bp low.

Diet is the main treatment of diabetes of course

[wgmalabama]

First world, type 2. Mostly self inflicted.

[napscoordinator]

True but where’s the vaccine for this? Funny how they don’t even try to fix some diseases.

[Qiviut]

Something that shocked me to find out:
91.2% of diabetes cases are type 2 diabetes cases and 5.6 percent of diabetes cases are type 1 diabetes.

This is why Dr. Jason Fung, nephrologist, wrote his terrific, enlightening book ‘The Obesity Code’. He got sick & tired of putting progressively deteriorating patients (most Type 2) on dialysis. Symptoms were being treated with insulin, etc. - root cause was not.

Type 2 does not have to be chronic & progressive if the root cause is targeted .... it’s what you put in your mouth (sugar, processed food, vegetable seed oils) that run your blood sugar up, then it has to be knocked down with ever increasing amounts of insulin over time. Remission/reversal & getting off insulin & most other meds that go along with Diabetes (BP, statins) is possible. Resources have started to become more available as doctors who have seen the light are breaking through the old “standards of care” they are taught in med school that don’t work & make patients sicker & sicker.

[yefragetuwrabrumuy]

It is also important to take an ordinary daily dose of Vitamin B-1 (thiamine) (300mg). Diabetics tend to urinate more, and lose albumin in the process, which leads to kidney disease. B-1 helps replenish the albumin.

https://www.sciencedaily.com/releases/2008/12/081208092149.htm

[sauropod]

Bkmk

[existentially_kuffer]

That’s interesting info. Tks for posting!

[wgmalabama]

Tiring people down and forcing them to eat a salad vs a Big Mac, fries and large coke is one solution / vaccine. I don't recommend suggesting it since I don't know how the FedGov will react anymore.

[yefragetuwrabrumuy]

There is something else. I Europe it is now common practice for those with diabetes to also take another OTC supplement.

It is called Stabilized R-Alpha Lipoic Acid. Na-RALA. It is particularly effective for fending off diabetic neuropathy, poor circulation and nerve damage in the feet and hands. On Amazon, a bottle of 180, 100mg capsules is about $45. (Oddly enough, it doesn’t seem to work for other forms of neuropathy.)

There are two forms of ALA, but only the R form is therapeutic. However, it tends to break down quickly in the body unless it is “sodium (Na) stabilized”.

Trouble is that all three forms are sold OTC. ALA, R-ALA, and Na-RALA. So you need to be picky when getting the right kind.

In any event, between NA-RALA and Vitamin B-1, a diabetic can fend off some of the worst problems associated with the Type 2 disease.

[existentially_kuffer]

Tks, all welcome information. Any comments on some of the side effects of Metformin & vitamin depletion particularly B12s?

[logi_cal869]

Labeling type 2 diabetes as 'diabetes' at all - in spite of its similarity to type 1 - is one of the greatest disservices to public health ever, perhaps only 2nd to doctors generalizing that 'fat is bad' as panacea for CVD (we all know how that worked out).

"Lifestyle Disease", as it should properly be labeled - and includes the characteristic symptoms of diabetes - is 100% preventable and, in most cases, reversible without permanent damage.

But there are many factors at play, the exemplar being one I won't discuss here.

Regardless, it's simultaneously amusing and disgusting that 'normally intelligent' people researching such effects of disease are not able to quantify - as I do - the equivalence of kidney damage to other disorders and consequent damage (again, not elaborating).

You are spot-on about this not being news...other than to highlight the institutional ignorance of the idiots who continue to negligently govern health policy in this country.

There is no excuse for this alarming trend. None:

[napscoordinator]

Not to worry. In 10 years, it will be illegal to eat beef of any kind. Heck they may add carbs.

[yefragetuwrabrumuy]

Well, I know of some OTC herbal equivalents to Metaformin for hepatic gluconeogenesis.

One such is Jiaogulan (Gynostemma Pentaphyllum), which some say is as good, or better.

Another is Berberine, again in comparison with Metaformin.

Another is Rutin. The first two herbs have several good scientific analysis online. Less so for Rutin, but there are some.

As far as directly lowering blood sugar, Gymnema (G. Sylestre) (aka “The Sugar Killer”) is the champ. (Also popular, so inexpensive.)