OBESITY INCREASE AND DIABETIC KIDNEY DISEASE RISK

Adults with type 2 diabetes and a higher BMI have an increased risk for diabetic kidney disease ('problem le rein'). When it has reached that stage, what can you do?

Remember, managing your blood pressure and blood sugar may not be enough to slow the progression to end-stage renal disease ('problem l'uree et creatinine). It is important for people with diabetes to also manage their weight.

For each 1 kg/m2 increase in your BMI, your risk for diabetic nephropathy (kidney disease) increases by 3.76 times and lowers the functions of your kidney (decrease in eGFR values).

People with diabetes and obesity should have their kidneys checked more often, as they are at high risk, and while chronic kidney disease (CKD) has no cure, early detection and obesity treatment could slow the progression to end-stage kidney disease.

Many patients come to me (after having spent years elsewhere with uncontrolled diabetes, uncontrolled blood pressure, being overweight, ect..) when they noted that their 'urea et creatinine pe monte' and they want me to control that. I certainly have stabilised and in quite a few, the levels, improved, as they were previously on medications that can affect the kidney functions, and most had poorly controlled blood pressure and almost all, had uncontrolled diabetes.

So, please do not waste your precious life, until when it's late (not 'quand problem in leve').

Wake up and take care of your health.

By Dr. Iswaraj Ramracheya