In my last blog, we discussed the strong and undeniable tie between Diabetes and Dialysis. In this blog, we delve into the question OK, given diabetes, what do we do regarding the need for dialysis?
There are specific guidelines and recommendations for regular monitoring of kidney function in individuals with type 2 diabetes. The goal of regular monitoring is to detect early signs of kidney damage and enable timely intervention to prevent or slow the progression of diabetic kidney disease (DKD). Here are some key guidelines:
American Diabetes Association (ADA):
The ADA recommends an annual assessment of kidney function in all individuals with type 2 diabetes.
The assessment includes measuring urinary albumin excretion (albuminuria) and estimated glomerular filtration rate (eGFR) using a blood test.
The ADA also suggests considering more frequent monitoring (every 3-6 months) in individuals with known kidney disease or those at higher risk.
National Kidney Foundation (NKF):
The NKF recommends regular screening for kidney disease in individuals with type 2 diabetes.
The screening includes measuring urinary albumin-to-creatinine ratio (UACR) and eGFR at least annually.
The NKF emphasizes the importance of early detection and treatment of kidney disease to slow its progression.
International Society of Nephrology (ISN) and International Diabetes Federation (IDF):
The ISN and IDF jointly recommend annual screening for kidney disease in individuals with diabetes.
The screening includes measuring urinary albumin excretion and eGFR.
The guidelines also highlight the importance of blood pressure control, glucose management, and lifestyle modifications to reduce the risk of kidney disease.
It’s important to note that these guidelines may vary slightly depending on factors such as individual risk profile, duration of diabetes, and comorbidities. Therefore, it is recommended to consult with a healthcare provider who can tailor the monitoring schedule based on an individual’s specific needs.
Regular monitoring of kidney function allows for early identification of kidney disease and enables healthcare providers to implement appropriate interventions, such as optimizing glucose and blood pressure control, prescribing medications (such as ACE inhibitors or ARBs), and recommending lifestyle modifications. These interventions aim to slow the progression of kidney disease and reduce the risk of complications, including the need for dialysis or kidney transplantation.
Remember, adherence to regular monitoring and ongoing communication with healthcare professionals is crucial for the effective management and prevention of kidney disease in individuals with type 2 diabetes.
In tomorrow’s blog, we will introduce current research that indicates a strong correlation between certain foods and diabetes – and it’s not candy or deserts BTW! Poe helped with this entry.
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