This Indicator Is High, And The Risk Of Uremia Increases More Than 10 Times!

If a person has diabetes, how much higher is the probability of this patient getting uremia than others? The answer is 10 times more! Readers will definitely be surprised, don't worry, the editor has collected the following evidence, and listen to the editor in detail~

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According to the data published by experts from the Department of Nephrology of Peking University First Hospital in the top medical journal "New England Journal of Medicine": in my country, the number of patients with chronic kidney disease caused by diabetes is gradually catching up with chronic nephritis.

It is precise because the number of diabetic patients is increasing, and they are getting younger and younger, and diabetes is easy to develop into kidney disease, leading to uremia. Therefore, it should not be difficult for everyone to understand why new uremia and diabetes in various countries are the main reasons.

According to the United States Renal Data System (USRDS), about 40% of new cases of uremia originate from diabetes. That is to say, out of 10 uremias, about 4 people are caused by diabetes. Patients with kidney disease due to long-term medication (such as prednisone, prednisolone, methylprednisolone, tacrolimus, cyclosporine, these drugs for kidney disease can increase blood sugar); or poor living habits, such as lack of Exercise, overnutrition, etc., are all high-risk factors for diabetes in patients with kidney disease. If you have underlying kidney disease, if you add diabetes, it will be even worse for the kidneys! Therefore, it is very important to take preventive measures in advance.

Paying attention to blood sugar metabolism is very important!

When fasting blood sugar is ≥ 7.0 mmol/L or blood sugar 2 h after sugar load is ≥ 11.1 mmol/L, it is diabetes. At this time, special attention should be paid to controlling blood sugar to prevent kidney damage. Nephropathy patients without diabetes also need to take precautions and pay attention to good living habits.

Who are the "potential stocks" of diabetes?

If you have any of the following characteristics, you need to pay attention to screening for diabetes:

prediabetes;

Family history, first-degree relatives such as parents, brothers, and siblings have a history of diabetes;

Obesity (BMI>24kg/m2); or obese abdominal circumference, with a waist circumference greater than 85cm for men and greater than 80cm for women. At the same time, people with hypertension and hyperlipidemia should pay special attention;

When pregnant, have had gestational diabetes; or gave birth to macrosomia (the child was born weighing more than 8 catties);

women with polycystic ovary syndrome;

lack of physical activity;

Long-term use of glucocorticoids, tacrolimus, cyclosporine;

Long-term use of antipsychotics and antidepressants;

over 40 years of age;

If you have diabetes, you may have no symptoms or you may have symptoms.

Symptoms such as thirst, urge to drink, excessive urination, blurred vision, and unexplained weight loss.

Some time ago, I reported such news: a programmer accidentally found that his urine attracted a group of ants (because there was sugar in the urine), and found out diabetes. In fact, like this programmer, who is sedentary, has poor eating habits, and is obese, he is a typical high-risk group of diabetes. If he valued his health, even if it wasn't for this "accidental discovery", he should have gone to the hospital for a medical examination.

What indicators should be checked for diabetes screening?

To screen for diabetes, these tests can help: fasting blood sugar, HbA1c, and oral glucose tolerance test (OGTT).

Glycated hemoglobin: It can detect the overall blood sugar of the patient in the past 3 months, and you can draw blood at any time (no fasting required). It is very convenient, but the price is a bit more expensive.

OGTT test: need to drink sugar water, but the price is cheaper. In addition, some patients are not suitable for glycated hemoglobin screening for diabetes, such as anemia patients with iron deficiency, vitamin b12, and folic acid. During pregnancy, OGTT test is needed to confirm the diagnosis.

For patients with fasting blood glucose ≥ 7 mmol/L, glycosylated hemoglobin ≥ 6.5%, or 2-h blood glucose ≥ 11.1 mmol/L in the OGTT test, the possibility of developing diabetes is very high, and further treatment in endocrinology and nephrology is required.

In pre-diabetes, and the situation is not serious, through the adjustment of living habits, weight loss, diet control, and exercise, it is possible that blood sugar can be completely restored to normal and the disease can be reversed.

For patients with more serious diabetes who simply rely on their lifestyle to not meet the blood sugar standards, don’t be afraid to avoid the doctor, and don’t rely on their youth to feel that they are fine. Be sure to take medicine as prescribed by the doctor and cooperate with the doctor to manage blood sugar well, in order to effectively avoid the occurrence of uremia!

for more information:ali.ma@wecistanche.com