okay if you have diabetes I am sure that
you're concerned whether your diabetes
will affect your kidneys or not it may
or it may not that depends on how you
are dealing with your diabetes and your
kidneys are not only damaged from
diabetes but there are a lot of other
factors that also cause kidney damage
unfortunately guys a lot of people don't
know that they have kidney damage due to
diabetes and it happens in my practice
all the time when I bring that up hey
you know your kidney function has been
done for a while
there really and nobody told me and
that's because really nobody wants to
bring that up because it creates a lot
of questions a lot of confusion and do
you know doctor sometimes do not know
what to tell the patient because it is
hard to explain and Here I am I'm going
to try to explain to you right now
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so let's go over how really diabetes
affects your kidneys now initially
because of the excess of glucose in your
blood that creates the inflammation in
your blood vessels make the kidneys get
larger so actually at the initial stages
we see that the kidneys are larger on
ultrasound and we see that actually the
filtration rates that helps us to
measure how much kidney function you
have left actually goes higher so it's
actually Pradaxa chol because your
kidney function seems to be better than
normal
Supra physiologic we call it and then
next thing you know is because of
excessive blood flow and excessive
inflammation taken over your kidney and
your kidneys will start to die and will
shrink down and then you have real
chronic kidney disease that stage 3
stage 4 your kidneys will look really
small that is because of the excessive
pressure excessive inflammation in your
kidneys will damage the arteries
arterioles in your kidney slowly now
that does not happen overnight it is a
long process people do not understand
that their diabetic kidney disease will
happen if they don't control their
diabetes starting from day first and
that can happen in the 10 to 15 years
after the diagnosis if they're not
controlled if they are control was in
the first 10 to 15 years they have less
to fear because the first 10 to 15 years
is the most critical period and since
it's a long marathon people tend to
postpone their diabetes care but if you
do not do it today
if you do not control your diabetes
today tomorrow may be too late to save
your kidneys
now uncontrolled diabetes generally
brings uncontrolled high blood pressure
and uncontrolled cholesterol as well so
if you are just controlling your blood
Sugar's but you are not paying attention
to getting your blood pressure at the
optimal level
and getting your cholesterol levels at
the optimal level you will not be able
to save your kidneys either so I have a
lot of times have to educate patients a
lot about this because they really did
not comprehend how complicated the
situation is it is not just blood sugars
I tell them it's like a tripod if you if
you do not control your high blood
pressure and your high cholesterol even
if you were you know you're listing your
two legs are controlled your your blood
pressure is controlled your diabetes is
controlled but your cholesterol is high
that tripod is not going to stand you
will still have a problem so I think
like a gang with three members so
diabetes high blood pressure high
cholesterol as a result I always treat
my patients holistically for me a
holistic means treating as a whole
treating the whole entire thing that
causes the problem so the diabetes high
blood pressure and high cholesterol is a
part of insulin resistance is part of
the whole metabolic syndrome process as
a result we have to control all of them
together so as a result guys so we have
to act early we have to act quick
diabetes has five stages most of the
time doctors will tell them they have a
problem when their stage three when
their stage two they don't even mention
it because it stirs the water and
patients panic about it and most of the
time really what they need to do is not
going to change your kidney function is
not going to come back if it is already
down your job is to try to keep it at
that level now when you have stage 2 or
stage 3 kidney disease you're not going
to probably have a lot of symptoms when
you get to stage 4 then you will start
having swelling then you will start
having nausea urea will accumulate in
your blood due to this your potassium
may go up your bones may be affected
your calcium and bones may be affected
from the
new problems so when you have advanced
commuters ease it is it can get very
complicated it can be very problematic
it not it's not just going to dialysis
everybody is fearful of dialysis the the
physical part of it going there lying
there for hours people don't like that
but when you have chronic kidney disease
or venir on dialysis you're you become
anemic you become tired all the time
you become nauseous all the time your
calcium goes off your vitamin D goes off
your bones get weak you start developing
arterial problems it is a huge risk
factor for heart attacks and strokes so
as a result most people who end up with
dialysis they do not survive too long
there are typical ever the number of
years on dialysis is five years just
because advanced kidney disease and
dialysis is a huge risk factors for
vascular problems again I'm not trying
to scare you off thoroughly but I think
for those who are in the early stages of
kidney disease or who do not have kidney
disease but diabetes it is the time
right now do not wait control your
diabetes today and again if you need
help please call us at sugar embiez that
remote diabetes care the remote live
monitoring and we are always here as
close as a text or an email and video
chatting is always possible have a great
day guys
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you