Protection from diabetes mandatory

Protection from diabetes is essential for protection against kidney failure, doctors at various events held on World Kidney Day said.

The Sindh Institute of Urology and Transplantation (SIUT) and the Agha Khan University Hospital (AKUH) organised seminars at their respective institutions to inform the public about prevention and care against diabetes which silently causes defects in all organs of a person.

Sixty to 70 per cent of renal failure occurs because of diabetes and hypertension, said Dr Ejaz Ahmed, professor of Nephrology at the SIUT. Medication to control hypertension must be used once a person develops rising blood pressure, because they protect against kidney failure. “Elevated blood pressure should be investigated for kidney disease,” he said.

Simple laboratory tests are the easiest way to diagnose kidney failure, Dr Ahmed said. “It gets dangerous in later stages, because either the kidney needs to be removed or treatment through dialysis is required. The latter is a painful procedure.”

Dr Ali Asghar Lanewala of the SIUT spoke about the prevalence of bladder stones among children, and said that controlling urination for too long can result in bladder stones. “This has almost been eradicated from the developed world, but we are still fighting with it, because we love to feed Roti and tea to our children, which is not good at all,” he said, adding that young children should be given milk or citrate juices instead of tea.

The prevalence of kidney stones is increasing every day because the quality and quantity of food intake has changed with time, said Dr Manzoor Hussein, professor of Urology at the SIUT. “Low citrate and water intake, as well as exposure to high temperatures at work, can result in the development of stones in the kidney. My advice would be to drink as much water as you can throughout the day,” he said.

Dr Ather Hussein, a consultant nephrologist at the Aga Khan University Hospital (AKUD), shared a World Health Organisation (WHO) estimate, according to which, 175 million people worldwide had diabetes in 2003 — a figure which will double by 2030 and is a cause for concern for developing countries.

Dr Waqar Kashif, also a consultant nephrologist at the AKUH, discussed the relationship between high blood pressure and kidney disease. In 1994, the National Health Survey of Pakistan revealed that 18 per cent of people above the age of 15, and 33 per cent above 45, had high blood pressure; and less than three per cent of these were able to maintain normal blood pressure. “Currently in Pakistan, approximately one third of the patients on dialysis have kidney disease as a result of long-standing uncontrolled high blood pressure. Patients who have diabetes in addition to high blood pressure are at a higher risk of developing diabetic kidney disease,” he said.

The ideal blood pressure for people wishing to stay healthy should be less than 140/90; in people with kidney disease or diabetes, however, the blood pressure should be much lower, Dr Kashif said.

Source: The News

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