Diabetes and the kidneys
Diabetes is the prime cause of the chronic kidney disease. Diabetes is also the prime cause of end-stage renal malfunction. Diabetes stops producing or using insulin in the body of the affected person, which is not in the case of other non-diabetic person.
Interrelationship between insulin & sugar/glucose
Normally our body transforms the food we take into sugar/energy. The job of insulin is to move this sugar/energy into cells. If a person is diabetic, his body will produce little or even cannot at all produce insulin; the person’s body becomes insulin resistant. Because of this situation the sugar remains in the blood stream without going to the cells, this aggravates the normal body-insulin chemistry. If the sugar level is high, over time, tiny blood vessels get damaged by the presence of high sugar level. The extent of damage reaches up to the nephrons in the kidney. The condition is known as diabetic kidney disease.
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How does the disease start affecting a person?
Diabetic kidney disease slowly affects a person. Even after many years, the affected person may not fall sick. The detection of the problem will be possible, once the person’s urine and blood is checked. The early diagnosis of kidney damage can be detected by urine test, which may point towards protein leakage into the urine. This is known in the medical world as “albumin”. If the extent of dame is more, the kidneys will leak more and more proteins in the urine. Simultaneously there will be more waste accumulations in the blood. The progression of the stage will ultimately lead to kidney failureThe “filter” i.e. the peritoneal lining separates waste products and excess fluids from our blood stream into the dialysis fluids. This follows draining out or draining out of the fluids. After this the peritoneum is filled with fresh/exchanged dialysis fluid.
Similarity & dissimilarity of haemodialysis & peritoneal dialysis
Both of these dialysis systems filter the blood and remove the extra fluids also. An access is needed to make either of these treatment procedures to be possible.
Haemodialysis needs a graft/fistula under the skin while peritoneal dialysis uses a catheter in the belly for the treatment.
Both the treatment has different nature of affects as the post treatment situations. A patient with the kidney damage problem, must be well aware of the both the methods of treatments.
Dialysis vs. Kidney transplant
A large number of patients prefer kidney transplant for better quality of life, greater freedom, increased level of energy and that too with lesser restrictions on diet. The most important point is, the patient feels comparatively free from the disease and/or the anxiety of kidney failure. But the truth is kidneys are not always available, even in some cases the donor-recipient pre & post matters do not end with happy notes. Sometimes the donor’s kidney is rejected by the recipient, on the other side; the donor ultimately cannot sustain the post donation complications.
It is also seen that many of the kidney transplantation candidates have to wait for a long time for getting the organ. Till the right time comes to him, he has to continue with dialysis.
All the patients with kidney problems cannot be the fitting candidates for kidney transplantation. Because some patients may have severe health problem, age problem, etc. when dialysis is found to be better alternative.
Other than this, the transplantation needs surgical procedure, which is not free from ‘during & post-surgery risks’. The rejection of the kidney by the receiving body is the major fallout in this case. These types of “transplanted kidney” patients have to take medicines for the rest of their life.
If you are trying to find the better of these two, you should talk to both types of persons to have undergone the treatment. These people can express everything they have experienced. But their opinion must not be the final one, because your doctor knows better, which one will suit you the best.
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