Diabetes Channel
Topics
Medications
Quicklinks
Related Channels

Diabetes and Kidney Disease

Dialysis and Transplantation

When people with diabetes experience kidney failure, they must undergo either dialysis or a kidney transplant. As recently as the 1970s, medical experts commonly excluded people with diabetes from dialysis and transplantation, in part because the experts felt damage caused by diabetes would offset benefits of the treatments. Today, because of better control of diabetes and improved rates of survival following treatment, doctors do not hesitate to offer dialysis and kidney transplantation to people with diabetes.
 
Currently, the survival of kidneys transplanted into patients with diabetes is about the same as survival of transplants in people without diabetes. Dialysis for people with diabetes also works well in the short run. Even so, people with diabetes who receive transplants or dialysis experience higher morbidity and mortality because of coexisting complications of the diabetes, such as damage to the:
 
  • Heart
  • Eyes
  • Nerves.
     

Helpful Tips

If you have diabetes, consider the following suggestions:
 
  • Have your doctor measure your hemoglobin A1c level at least twice a year. The test provides a weighted average of your blood glucose level for the previous three months. Aim to keep it at less than 7 percent.
     
  • Work with your doctor regarding insulin injections, medicines, meal planning, physical activity, and blood glucose monitoring.
     
  • Have your blood pressure checked several times a year. If blood pressure is high, follow your doctor's plan for keeping it near normal levels. Aim to keep it at less than 130/80.
     
  • Ask your doctor whether you might benefit from taking an ACE inhibitor or ARB.
     
  • Have your urine checked annually for microalbumin and protein. If there is protein in your urine, have your blood checked for elevated amounts of waste products, such as creatinine. The doctor should provide you with an estimate of your kidney's filtration based on the blood creatinine level.
     
  • Ask your doctor whether you should reduce the amount of protein in your diet. Ask for a referral to see a registered dietitian to help you with meal planning.
     
Steps to Prevent or Delay Diabetic Nerve Damage

Diabetic Complications

Terms of Use
Advertise with Us
Contact Us
About eMedTV
Privacy Policy
Copyright © 2006-2017 Clinaero, Inc.
eMedTV serves only as an informational resource. This site does not dispense medical advice or advice of any kind. Site users seeking medical advice about their specific situation should consult with their own physician. Click Terms of Use for more information.