Kidney disease in diabetes as we all knows ‘diabetic nephropathy’ is a major microvascular complication occurring in around 20-40 % diabetic patients with prolonged diabetes. It’s a leading cause of end stage renal disease, dialysis and transplant.
Diabetic nephropathy is characterised by persistent proteinuria of >500mg/day with concomitant diabetic retinopathy, hypertension and absence of other kidney or renal tract disease. Diagnosis of diabetic nephropathy, Evidence of diabetic retinopathy ( retina changes in diabetes) Presence of proteins in urine- presence of urine microalbumin or urine spot protein creatinine ratio of >0.2.High levels of blood urea and creatinine Enlarged renal size on ultrasonography. Associated findings of- high blood pressure, anaemia and increased serum potassium levels. Once onset complete reversibility is not possible but we can slow the progression of diabetic nephropathy and delay onset of end stage renal disease with good glycaemia and blood pressure control and use of ACE inhibitors/ARB in early stages.

Alternatives for this Painful Nerve Condition

Peripheral neuropathy may be one of the most common conditions you've never heard of -- and it is indeed common. Estimates are that it affects as many as two-thirds of people with diabetes, 10% to 20% of people with cancer and 8% of all people over age 55. One reason may be that neuropathy is not an isolated medical condition. Rather, it results from other medical problems including vitamin deficiencies, autoimmune disorders and heavy metal exposure, in addition to diabetes and cancer. Symptoms generally come on gradually over a period of weeks or even months, starting in the toes and sometimes the fingers.

They include burning and tingling sensations, numbness, and occasional sharp, sudden pains similar to electrical shocks. Intensity of symptoms varies widely, from mild annoyance... to numbness severe enough to impair function... to debilitating pain.

MEDICAL TREATMENTS

Mainstream medical doctors often treat peripheral neuropathy with pharmaceutical drugs, but they all have serious side effects, including dizziness, sleepiness, dry mouth, blurred vision, weight gain, nausea, headache and in serious cases, allergic reaction and confusion, among others.People with diabetes must control blood sugar levels to help slow further peripheral neuropathy development. People who suspect vitamin deficiencies should see a holistic physician for blood level tests and to help them establish a healthy diet and vitamin protocol. They must also avoid or greatly reduce alcohol consumption. Those having chemotherapy should alert the supervising doctor immediately if numbness or tingling starts in their feet or hands. The doctor may be able to alter the drugs somewhat to keep the neuropathy from escalating. However, when chemo-related peripheral neuropathy begins weeks or even months after completion of chemotherapy -- as is often the case -- the next step is to seek treatment to alleviate the discomfort and possibly help reduce or even heal it. This advice holds true for other causes of peripheral neuropathy as well, although you should check with your doctor to be sure it is appropriate for you.

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