There are more people with diabetes than newborns every year! Doctors with high risk of diabetes and kidney disease: pay attention to 2 major signs of kidney disease
There are more new people with diabetes than newborns! Doctor: Half ignore the risk of kidney disease
The prevalence of kidney dialysis in Taiwan ranks first in the world, and the number of people with diabetes is expected to exceed 2.5 million. Blood sugar control is closely related to kidney health. However, according to surveys, nearly half of diabetics are unaware that they are at potential risk of kidney disease. The National Health Insurance Department and Taiwan’s three major medical associations jointly call on people with diabetes to join the “Diabetes and Kidney Shared Care” mechanism platform to receive better quality care and avoid kidney disease crises.
Huang Jianning, chairman of the Diabetes Society of Taiwan, pointed out that the number of newly diagnosed patients with diabetes every year is about 160,000, which has exceeded the number of newborn babies. About 33% of people with diabetes will develop chronic kidney disease within 7 to 10 years. Once diabetes is combined with kidney disease, Increases the risk of hospitalization for chronic kidney disease or end-stage kidney disease by 14 times.
Diabetes is a large group of people undergoing kidney dialysis. Should we be careful about the increase in glomerular filtration rate?
“A large part of the reason for the increase in kidney dialysis patients in Taiwan is that the National Health Insurance provides comprehensive chronic disease care, which helps diabetic patients live longer. As people age, they are more likely to develop chronic kidney disease or face kidney dialysis problems! "
Chairman Huang Jianning reminded that the prevalence of diabetes and kidney disease in Taiwan has increased from 13.32% in 2000 to 17.92% in 2014. Diabetic patients with unstable blood sugar control will initially experience a “high filtration period” in which the glomerular filtration rate rises and the kidneys are larger than normal. Later, in the “quiescent period” the glomerular filtration rate continues to be high, and the kidneys have been damaged. It then progresses to the microalbuminuria stage, proteinuria stage, and finally to the end-stage renal disease stage. The kidneys are no longer able to effectively excrete harmful substances from the body and require kidney dialysis treatment.
In view of this, patients with diabetes and chronic kidney disease should receive multi-disciplinary and professional team care. Launching the “Caring for Diabetes and Kidneys” is the primary goal shared by the Diabetes Association of Taiwan, the Taiwan Society of Nephrology, and the Taiwanese Association of Diabetes Educators. The National Health Insurance Department will also promote the “Integrated Diabetes and Early Chronic Kidney Disease Care Plan” in early 2022 to provide appropriate professional team care to achieve early control and intervention goals.
The world’s first “sugar and kidney care” platform helps people with diabetes reduce the risk of kidney deterioration
Wu Maisi, chairman of the Taiwan Society of Nephrology, pointed out that international studies show that if treatment goals are established early and care plans are improved, diabetic patients are expected to reduce the risk of kidney deterioration by 61% in the long term. In addition to reducing the risk of nephropathy, eye disease, and neuropathy The risk will also decrease accordingly. Local research in Taiwan also shows that joining the diabetes and early-stage chronic kidney disease medical benefit improvement program at the same time can reduce the chance of kidney deterioration by 40% and reduce the risk of death by half.
“The “Integrated Diabetes and Early Chronic Kidney Disease Care Plan” promoted by Taiwan is a very forward-looking care mechanism. It is also the first “diabetes and kidney care” platform in the world to be implemented so far. This is not only related to Taiwanese people in the past ten years and two Ten years of health is related to the next hundred years!”
Chairman Wu Maisi emphasized that the goal of helping diabetic patients to increase regular screening, implement compliance with medical advice, and strengthen the complete care rate of DKD is to simplify the integrated care of diabetic nephropathy and prevent or delay the occurrence of end-stage renal disease. Diabetic patients are reminded to adjust their lifestyle, use kidney-protective drugs in accordance with doctor’s advice, and regularly assess risk factors for nephropathy every 3-6 months to understand their proteinuria and glomerular filtration rate to ensure kidney health.
Kidney disease is the biggest turmoil in diabetes care! Understanding Kidney Health Traffic Signs
Wang Zhiyuan, chairman of the Diabetes Health Education Association of Taiwan, said that diabetes care is most afraid of encountering “turbulence”, and kidney disease and heart disease are the two most serious ones. Kidney disease in particular is often silent. People with diabetes should not only pay attention to “immersing themselves in water.” “Fatigue” is one of the five major kidney disease symptoms. It is also necessary to strengthen the health awareness of kidney disease and understand the risk indicators of kidney function, so that correct health decisions can be made early when the body changes.
“Taiwanese people are too accustomed to leaving health decisions to doctors and health education personnel. They lack disease-related health knowledge, which makes early detection more difficult. We not only call on all people with diabetes to join the diabetes-kidney sharing mechanism, but also in middle and primary schools in the future. Promote preventive education, especially if diabetes has a family history. Relevant health education should start from primary school to strengthen public health awareness! "
Chairman Wang Zhiyuan reminded that people with diabetes should undergo regular renal function tests, understand proteinuria and glomerular filtration rate tests, and determine kidney risk grading. In addition to paying attention to proteinuria, you should also pay attention to whether the glomerular filtration rate is abnormal. Understand your future risk of kidney disease through the four “red, orange, yellow and green” light signals guided by the International Kidney Medical Organization (KDIGO).
In order to strengthen the care capacity for diabetic nephropathy, the Diabetes Association of Taiwan, the Taiwan Society of Nephrology, and the Taiwanese Association of Diabetes Educators jointly proposed three major cooperation goals for diabetic nephropathy at the end of 2022: promote diabetic nephropathy care, drive complete care, and improve patients health awareness will be enhanced, and care guidelines will be updated in 2023, hoping to strengthen the care of diabetes and kidneys and ensure sustainable patient health.
Further reading:
Being overweight can also damage your kidneys! Obesity rate among children in Taiwan exceeds 25%. Parents must know about 3 major kidney mines
