How Is Diabetes Management Affecting Your Kidneys?
As type 2 diabetes becomes an increasing problem worldwide, doctors and scientists need to examine many things; prevention options, new treatments and technology, and the effects of the disease are only the tip of the iceberg.
In fact, some scientists wonder whether diabetes management helps or hurts other organs, such as the kidneys.
Keeping Your Kidneys Safe
Diabetes is the leading cause of end-stage renal disease (ESRD), otherwise known as kidney failure. Previous studies seem to show that diabetes management is an asset in preventing ESRD. Diabetes in Control wrote of the issue:
“Metformin, sulfonylureas and thiazolidione are connected with an increased incidence of hypoglycemia, weight gain and lactic acidosis in patients with type 2 diabetes and CKD.”
In a previous study by ADVANCE, 8,494 participants were divided into two groups. The first, of 4,283 people, underwent intensive glycemic treatment. The remaining 4,211 were given standard glucose control. In a follow up study (5.4 years later), researchers found that, while the HbA1c had risen among the first group, “There was a drastic decrease in the risk of ESKD witnessed in intensive glucose control in trial period.”
What Does it Mean?
The Indian Journal of Endocrinology and Metabolism has reported that, “it is being observed that 'more is not always better' in terms of overall outcomes of patients where more and more drugs are being poured in to achieve tighter targets, with all patients.” While they have a point, we can breathe a little easier when it comes to diabetes care and ESRD.
The ADVANCE study indicated that “[diabetes] control continues to protect against the development of ESKD in type 2 diabetes patients.” Keeping yourself in good health by eating right, exercising, and keeping your blood sugar under control can help stave off kidney failure for quite some time.