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ARE YOU IN CONTROL OF YOUR DIABETES?



Written by DaVita dietitian Cheryl Carter, RD

If you are an American with diabetes you should know that not controlling your
glucose levels could lead to other health complications including kidney
disease. The numbers can be scary — 30% of people with Type 1 diabetes and 10 to
40% of people with Type 2 diabetes will eventually suffer from chronic kidney
disease. So how can you avoid being a statistic? One of the best things you can
do is get control of your diabetes. 

YOU CAN CONTROL DIABETES

Your lifestyle choices play a big part in how healthy you are and how healthy
you stay. By following a healthy diet, exercising regularly, monitoring your
blood glucose, taking your medicines as prescribed by your doctor and losing
weight if you are over your ideal body weight, you can help delay or prevent the
onset of chronic kidney disease, heart disease and other diabetic problems.

Diabetes is a disease that affects your body’s ability to produce insulin (Type
1 diabetes) or to use insulin (Type 2 diabetes). When your body cannot produce
insulin or is insulin resistant, this causes too much sugar or glucose to remain
in your blood. Over time, high blood glucose levels can damage the small blood
vessels in the kidneys as well as cause blindness, heart disease and impotence.

If you have been diagnosed with diabetes, it is important to remember to do the
following things that you yourself can control:

 1. Eat at about the same times every day to keep blood sugar levels even
    throughout the day.
 2. Eat a meal or snack every 3 to 4 hours to help keep blood sugar levels even
    throughout the day.
 3. Do not skip meals.
 4. Keep the amount of carbohydrate in meals and snacks consistent from day to
    day.
 5. Check your blood sugar every day.
 6. Take your medicines and/or insulin as directed by your doctor.
 7. See your doctors on a regular basis, and inform them of any changes in your
    blood sugar, or any new symptoms you may notice.

Your goal should be to keep your blood sugar as close to normal as possible.
Currently, the recommendation for blood sugar levels is 90 to 130 mg/dl before
meals and less than 180 mg/dl within one to two hours after a meal. Your doctor
may have different individualized goals for you, so ask where your blood sugar
level should be.

DIABETES DOESN’T HAVE TO LEAD TO KIDNEY DISEASE

While no one really knows what causes diabetes, medical professionals believe
genetics, diet, lack of exercise and obesity may play a part in the onset of
Type 2 diabetes. If you are overweight, another important goal should be gradual
weight loss. Studies show that losing only 10 to 15 pounds can lower your blood
sugar and help you gain better control of your diabetes. By eating healthier and
getting regular physical activity, you can lose that extra weight. Regular
exercise helps to use excess blood sugar for energy and keeps your heart and
bones strong, too. Of course, ask your doctor before starting any new exercise
program.

If you smoke, stopping smoking can be a great benefit to your heart, lungs and
kidneys, as well as the rest of you. While smoking is a tough habit to quit,
doing so eliminates one of the risk factors for kidney failure.

Keep an eye on your blood pressure and try to keep it at 125/75 or lower, or
where your doctor recommends. High blood pressure can increase the risk of
kidney disease for those with diabetes because in addition to the high sugar
levels damaging tiny blood vessels in the body, the higher pressure of the blood
can also damage blood vessels. Take your blood pressure medicine as prescribed
by your doctor. Even if you do not have high blood pressure, your doctor may
prescribe blood pressure medicine because it has been shown that some blood
pressure medicines protect the kidneys and slow the progression of existing
kidney disease.

By following the advice of your doctor and making some of the lifestyle changes
discussed above, even though you have diabetes, you may be able to prevent or
delay kidney disease.

GET TESTED FOR KIDNEY DISEASE

Many people with diabetes may have chronic kidney disease and don’t even know
it. Because renal disease usually has few symptoms until kidneys begin to fail,
many diabetic with decreasing kidney function have not been diagnosed. Ask your
doctor to test your kidney function and to check your urine for protein. If you
have the creatinine level from a recent blood test, you can use the DaVita GFR
Calculator. Glomerular filtration rate (GFR) is an indicator of a person’s
kidney function and can help determine the stage of chronic kidney disease.

If you have already been diagnosed with the beginning stages of kidney disease,
you may delay the start of dialysis by following your doctor’s orders for
medications and diet. You may be instructed to eat a low-sodium diet to help
lower your blood pressure, and a low-protein diet may be recommended to decrease
the work of your kidneys.

In any case, a registered dietitian or renal dietitian, who specializes in renal
care, can help you figure out the best diet for your diabetes and kidneys. The
American Dietetic Association has an easy way to find a dietitian by specialty
on the homepage at www.eatright.org. By keeping your blood sugars normal, you
can be in control of your diabetes, your kidneys and your life.

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LEARN TO MANAGE YOUR KIDNEY HEALTH.


LEARN TO MANAGE YOUR KIDNEY HEALTH.

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HOW IS KIDNEY FUNCTION MEASURED?

Learn how your glomerular filtration rate (GFR) serves as an indicator of kidney
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TAKE A DEEPER LOOK AT EDUCATION

KIDNEY DISEASE

Boost your knowledge by understanding the symptoms, risk factors and stages of
kidney disease.

LIFE WITH KIDNEY DISEASE

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continue to live well after a kidney disease diagnosis.

KIDNEY SMART® CLASSES

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EDUCATION VIDEOS

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videos that will help you learn more about kidney disease.

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