Early stage in kidney disease, treatable

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World Kidney Day: high-risk patients should have regular kidney control

If diagnosed early, kidney disease is often relatively easy to treat. For this reason, especially high-risk patients such as diabetics should urgently go for a preventive medical check-up, reports the German Diabetes Aid in a press release on the occasion of today's World Kidney Day. Here, "many years before serious damage becomes visible, small amounts of albumin - a special protein in the urine - would indicate the coming risk." The board member of diabetesDE - Deutsche Diabetes-Hilfe, Dr. med. Jens Kröger explained that "diabetics should have their urine tested for its albumin content at least once a year" in order to identify possible kidney damage at an early stage.

The kidneys perform vital functions by filtering the blood, producing urine and carrying waste products with it out of the body. In theory, a healthy person can do without one of his two kidneys, but "without functioning kidneys, waste products accumulate in the blood and cause poisoning," reports the German Diabetes Aid. High blood sugar and permanent high blood pressure in diabetics often lead to damage to the smallest blood vessels in the kidneys and thus to diabetic kidney disease, explained Dr. Kroger. "The first signs of damage can be seen in the fact that the kidneys no longer filter properly and protein appears in the urine," continued the board member of Deutsche Diabetes-Hilfe.

Kidney damage is a common consequence of diabetes Especially in diabetes, kidney disease is a common consequence, reports the German Diabetes Aid. "About 40 to 50 percent of all diabetics" would develop "diabetic nephropathy" in the course of their metabolic disease. This in turn leads to an increased risk of cardiovascular diseases. Due to the drastically reduced filter function of the kidneys, dialysis and possibly even kidney transplantation are often required. According to the German Diabetes Aid, around 20,000 diabetics in Germany are currently dependent on dialysis. This is also due to the fact that kidney diseases are often "diagnosed too late and their importance is underestimated".

Early therapy delays dialysis and reduces mortality. At the first signs of impaired kidney function, according to the German Diabetes Aid, "a specialist doctor, the nephrologist, should treat it early." Appropriate therapeutic care can reduce the course of kidney disease up to Delay dialysis significantly and reduce mortality. Deutsche Diabetes-Hilfe emphasized that, for example, an optimal setting of blood sugar, blood fat and blood pressure values ​​can prevent damage to the kidneys. "The target value for blood pressure is 120/80 to 130/80 mmHg," continued the German Diabetes Aid. In addition, diabetics should be careful in their diet not to exceed the saline intake recommended by their doctor. In addition, smoking is known as a risk factor for the development and progression of kidney diseases and should therefore be avoided.

World Kidney Day aims to raise awareness of kidney diseases In view of World Kidney Day, German Diabetes Aid advises all diabetics to "address the doctor who is treating them to their kidneys." Only with appropriate medical advice and support can kidney diseases and the associated health problems be reduced. The press spokesman for the German Society for Nephrology (DGfN), Professor Dr. Jan Galle said in an interview on the occasion of World Kidney Day that "the day of the campaign should raise awareness of kidney diseases and their prevention in all age groups of the population", since "far too few people know what kidney failure means and how to do it." can prevent that. ”A total of over 70,000 dialysis patients currently live in Germany,“ who have to struggle with great restrictions with regard to quality of life and prognosis ”. Their "life expectancy is on average lower than that of cancer or AIDS patients," but Professor Galle emphasized that the subject is still much less perceived today. (fp)

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