Why is diabetes hard on the kidneys?

Why is diabetes hard on the kidneys?

How does diabetes cause kidney disease? High blood glucose, also called blood sugar, can damage the blood vessels in your kidneys. When the blood vessels are damaged, they don't work as well. Many people with diabetes also develop high blood pressure, which can also damage your kidneys.

Which diabetes meds are bad for kidneys?

Common sulfonylureas are Micronase®(glyburide), Glucotrol®(glipizide) and Amaryl®(glimepiride). Glyburide use should be avoided in patients with severe kidney impairment as defined by a GFR of less than 60 mL/min (CKD stage 3 and below).

Does diabetes damage the kidneys?

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage your kidneys. If they are damaged, waste and fluids build up in your blood instead of leaving your body. Kidney damage from diabetes is called diabetic nephropathy.

What is the first sign of diabetic nephropathy?

Diabetic nephropathy usually has no symptoms early on. You can't tell that there is protein in your urine – it's something that is detected with a urine test. It can take many years for the kidney damage to progress. Symptoms usually only appear when kidney damage has deteriorated significantly.

What are the signs of stage 1 kidney disease?

Higher than normal levels of creatinine or urea in the blood. Blood or protein in the urine. Evidence of kidney damage in an MRI, CT scan, ultrasound or contrast X-ray.

What foods can reverse diabetes?

If you have this type of diabetes the foods you eat should have a low glycemic load (index) (foods higher in fiber, protein or fats) like vegetables and good quality protein such as fish, chicken, beans, and lentils.

Is insulin bad for kidneys?

Insulin is a hormone. It controls how much sugar is in your blood. A high level of sugar in your blood can cause problems in many parts of your body, including your heart, kidneys, eyes, and brain. Over time, this can lead to kidney disease and kidney failure.

Is insulin better than metformin?

Insulin Usually Better Than Oral Drugs For Type 2 Diabetes. At present, guidelines recommend metformin, an oral blood glucose reducing medication, for type 2 diabetics starting insulin treatment. The researchers examined 2,217 individuals aged 18+ with type 2 diabetes.

Can you reverse early kidney disease?

There is no cure for kidney disease, but it may be possible to stop its progress or at least slow down the damage. In many cases, the correct treatment and lifestyle changes can help keep a person and their kidneys healthier longer.

How can I protect my kidneys?

With diabetes, the small blood vessels in the body are injured. When the blood vessels in the kidneys are injured, your kidneys cannot clean your blood properly. Your body will retain more water and salt than it should, which can result in weight gain and ankle swelling. You may have protein in your urine.

What can a diabetic with kidney disease eat?

Metformin does not cause kidney damage. If your kidneys are not functioning properly, metformin can build up in your system and cause a condition called lactic acidosis. Lactic acidosis is when there is a dangerous amount of lactic acid in the body.

What is the safest diabetes medication?

Shari Bolen. But, "while adults with diabetes often need more than one medication to control blood sugar, the newer medications do not appear to be safer than the older drugs," added Bolen. Metformin is still the safest and most effective type 2 diabetes medication, said Bolen.

Can diabetes be reversed?

Although there's no cure for type 2 diabetes, studies show it's possible for some people to reverse it. Through diet changes and weight loss, you may be able to reach and hold normal blood sugar levels without medication. This doesn't mean you're completely cured. Type 2 diabetes is an ongoing disease.

What are the 3 stages of diabetes?

The statement's four stages of type 2 diabetes are insulin resistance, prediabetes, type 2 diabetes and type 2 diabetes and vascular complications, including retinopathy, nephropathy or neuropathy and, or, related microvascular events.

How can I protect my kidney function?

One cause of kidney failure is diabetes mellitus, a condition characterised by high blood glucose (sugar) levels. Over time, the high levels of sugar in the blood damage the millions of tiny filtering units within each kidney. This eventually leads to kidney failure.

What level of blood sugar is dangerous?

A dangerous complication known as hyperosmolar hyperglycemic nonketotic syndrome can affect people with diabetes if blood glucose levels remain very high, above 33 mmol/l (600 mg/dl) for an extended period of time.

How long can you stay in stage 3 kidney disease?

Stage 3B patients had higher risks of adverse renal and cardiovascular outcomes than stage 3A patients. CONCLUSIONS: About half of the patients with stage 3 CKD progressed to stage 4 or 5, as assessed by eGFR, over 10 years.