IEP CHANDIGARH AUGUST 20, 2022
“Diabetic kidney disease is a complication that takes place in some people with diabetes. In this condition the filters of the kidneys become damaged. Due to this the kidneys starts leaking abnormal amounts of protein from the blood through urine,”
Dr Raka Kaushal, Director of Nephrology and Renal Transplant Physician at Ivy Hospital, Mohali while talking about ‘Diabetic kidney disease’ during a CME today said that in normal healthy kidneys only a tiny amount of albumin is found in the urine. A raised level of albumin in the urine is the typical first sign that the kidneys have become damaged by diabetes.
She further said that although diabetic kidney disease is more common in people with type 1 diabetes, there are more people with type 2 diabetes and diabetic kidney disease. This is because type 2 diabetes is much more common than type 1 diabetes.
Diabetic kidney disease is actually the most common cause of kidney failure. Around one in five people needing dialysis have diabetic kidney disease, she opined.
Talking about symptoms , Dr Raka said that with more severe kidney disease, symptoms that may develop include; difficulty thinking clearly, a poor appetite, weight loss, dry, itchy skin, muscle cramps, fluid retention which causes swollen feet and ankles, puffiness around the eyes, needing to pass urine more often than usual, being pale due to anaemia, feeling sick (nausea).
Speaking on ‘Knee surfacing’, Dr Bhanu Partap Singh Saluja, director and head of Institute of Orthopaedics at Ivy Hospital, Mohali said that knee joint replacement which is also called as knee resurfacing is the best time-tested option available to live quality of life .
The knees problem arises when joint space between bones is dramatically reduced. The cartilage is almost completely gone, leaving the joint stiff and possibly immobile. The synovial fluid has decreased dramatically, and it no longer helps reduce the friction among the moving parts of a joint there by crippling the daily activity of patients, painkillers are of temporary relief and excessive use can damage kidneys and heart, he maintained.