Diabetes is not only getting younger, but it is also found that kidney function may be reduced by 30%! From the age of 35, you should pay attention to the "three major indicators"

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Diabetes is not only getting younger, but it is also found that kidney function may be reduced by 30%! From the age of 35, you should pay attention to the "three major indicators"

Is diabetes a common cause of kidney dialysis? When diabetes occurs, 30% of kidney function is left?

Taiwan has the highest prevalence of dialysis in the world and is known as the “big country on kidney dialysis”. Kidney health is closely related to the control of the three high blood sugar levels, among which the blood sugar control of the diabetic population is the most closely related. According to Taiwan Ministry of Health and Welfare, Health Promotion Administration, among the diseases suffered by dialysis patients in the year before dialysis, diabetes accounts for as much as 47%. Large-scale studies have even pointed out that when diabetic patients find that kidney function indexes such as creatinine are abnormal, only 30% of their kidney function is left, showing the importance of early care of kidney health for diabetic people.

Dr. Wang Zhiyuan, chairman of the Diabetes Health Education Association of Taiwan, pointed out that diabetic nephropathy is mainly related to poor blood sugar control. When the kidneys filter blood with high blood sugar concentrations for a long time, it is easy to cause structural changes in kidney cells, thereby damaging the kidney’s filtration function. Once patients with diabetes are found to have abnormal kidney function such as creatinine, they are at risk of needing dialysis (kidney dialysis) within about 10 years on average.

Diabetes should pay attention to kidney function signals! Understand glomerular filtration rate and proteinuria

“People with diabetes must pay attention to kidney function as early as possible and check the “glomerular filtration rate” (eGFR) and “proteinuria” regularly. Based on these two indicators, a concentric circle risk assessment can be formed. When your kidney function signal When the light changes from green to yellow or orange, you should be more vigilant and control the risk of kidney disease as soon as possible!”

Dr. Wang Zhiyuan said that diabetes treatment drugs have made great progress in the past 20 years, but the rate of nephropathy and dialysis in diabetics is still high. This is related to the fact that diabetics develop nephropathy too late and lack sufficient health knowledge. Diabetic people are reminded to pay attention to the early symptoms of kidney disease: bubbles (bubble urine), water (edema), high blood pressure (hypertension), anemia (anemia), fatigue (burnout), and seek medical attention as soon as possible through proteinuria and renal function numerical tests. Determine the grade of kidney disease.

“Foreign studies have found that 90% of diabetic patients are unaware that their kidney function is deteriorating, and data from Taiwan also show that 51.1% of diabetic patients are not aware of the risk of kidney disease, which shows that the health awareness of kidney disease among the diabetic population has been improved. Very important!”

Diabetes is getting younger! If you have a family history from the age of 35, you can check 3 indicators

Dr. Wang Zhiyuan pointed out that diabetes is gradually becoming younger in Taiwan, and the number of people with diabetes under the age of 40 is increasing, which may be related to multiple factors. Including bacterial infections (such as COVID-19), dietary changes, lifestyle, environmental factors and ionizing radiation. In addition to regular health examinations starting at the age of 40, people over the age of 35 who have a family history can regularly test fasting blood sugar, postprandial blood sugar (random blood sugar) and glycated hemoglobin to understand their blood sugar status as early as possible.

Dr. Wang Zhiyuan said that Taiwanese society is work-oriented. Most people have little rest time, get off work late, and sacrifice their daily routine in pursuit of fame and wealth. It is easy to ignore that health is the foundation of all physical and mental assets. Coupled with the obvious social trend of “hiding diseases and avoiding medical treatment”, people with diabetes tend to seek folk remedies after becoming ill, resulting in an inability to face the disease with a healthy attitude, which is also related to poor control of diabetic nephropathy.

“Health education and health education are part of life education. Prevention is better than cure. Health education for diabetic nephropathy should start from primary school, and then strengthen public health awareness!” Dr. Wang Zhiyuan reminded that diabetes is becoming younger, and only education from an early age can Improving health awareness can help healthy people who are not yet sick to make correct decisions and stay away from diseases. People with diabetes should abandon their misconceptions and follow the doctor’s instructions to take medications or administer insulin regularly. This is the correct way to control blood sugar and reduce complications.


Further reading:

Diabetics eat a “chromium” diet to stabilize blood sugar! Doctors say: “These two” are also good helpers!

“Hypoglycemia” is more likely to lead to hospitalization than high blood sugar! More than 50% are asymptomatic? Doctor: Make good use of CGM to help blood sugar control reach standard

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