Published On: Wed, Mar 13th, 2019

Diabetes is the leading cause for Chronic Kidney Disease (CKD) in Karnataka

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  • Karnataka has one of the highest incidence of diabetes in India, and up to 30 percent of diabetics develop Chronic Kidney Disease
  • The number of patients undergoing dialysis is not even 10% of the total number of patients who require it

Bengaluru; March 13, 2019: Diabetes is driving the rising incidence of kidney disease in Karnataka, with chronic kidney disease (CKD) afflicting 10% of the state’s population, said Dr. Satish Kumar MM, Sr. Consultant Nephrologist & Transplant Physician, Vikram Hospital, Bengaluru.

While diabetes continues to be the commonest cause of CKD in Karnataka, other risk factors include hypertension, obesity, late diagnosis, smoking, alcoholism, high intake of salt (over 12-15 gm a day) and the use of over-the-counter (OTC) pain killers.

Dr. Satish Kumar MM said: “Karnataka has one of the highest incidence of diabetes in India, and up to 30 percent of diabetics develop CKD. A family history of renal disease is a risk factor. Control of blood sugar and blood pressure is most important for long-term kidney health. High salt intake increases the incidence of hypertension, which is anindication of kidney damage. Obesity leads to an adverse hormonal milieu in the human body, which in turn can damage the delicate filtering structures present in the kidneys.”

Kidney Diseases affect approximately 850 million people worldwide and CKD is the 11th leading cause of death with at least 2.5 million deaths per year. Kidney diseases often arise from the social conditions in which people are born, grow, live and work. People with lower economic status bear the greatest burden of kidney failure. In many settings, kidney disease treatment is inaccessible due to lack of specialized health care professionals.

Talking about kidney disease in rural areas, Dr. Partha Pradeep Shetty, Consultant Nephrologist & Transplant Physician, Vikram Hospitalsaid, “Mass screening for kidney disorders is required at villages level, along with preventive measures such as provision of safe and clean drinking water and preventing chemical pollution of ground water.Good control of diabetes &hypertensionwill help avoid progression of kidney diseases”.

L-R Dr Partha Pradeep Shetty,Dr. Satish Kumar MM, Dr. Mohan K, and Dr Somesh Mittal

“CKD is a progressive disease with deadly consequences for both heart and kidneys. In fact, less than 20% of those destined to the end-stage renal disease (ESRD) reach the end stage, as they die much earlier due to heart disease. In its early stages, CKD leaves no footprints and is entirely silent. It can only be detected through regular health screening with urine and blood analysis. The precise number of CKD patients in India is not known with certainty since an organized registry of CKD doesn’t exist anywhere in India”, added Dr. Satish Kumar MM.

Talking about early symptoms of Kidney diseases, Dr. Mohan K, Consultant Urologist, Transplant &Laparoscopic Surgeon, Vikram Hospital said, “passing urine many times at night (Nocturia), Lower urinary tract symptoms like increase in frequency of urination, pain while passing urine, urgency and passing blood in urine.

Commenting on the status of dialysis and renal care infrastructurein India, Dr. Somesh Mittal, CEO, Vikram Hospital said, “even though barriers to available, accessible, adequate and quality kidney care continue to exist, early detection, prevention, management and delay in progression are bearable options to reduce costs and consequences of kidney disease for individuals. Despite the growing burden of kidney disease globally, kidney health disparity and inequity arestill prevalent and as such there is immense potential for an organizedand well networked renal care chain.”

Tips from Dr. Satish Kumar MM for preventing kidney disease:

Early diagnosis of CKD is crucial before substantial kidney damage has occurred. There are multiple ways in which further kidney damage can be prevented:

  • Control blood sugar. This can be done through diet, exercise and medicines.
  • Control high blood pressure. Salt intake has direct link with increasing blood pressure. Hence, consumption of added salt in food should be curtailed.
  • Many alternate form of drugs that are orally consumed contains substances harmful to the kidney, hence they should be avoided.
  • Drink enough water to produce 2-2.5 litres of urine per day. Excessive or too little water is harmful to kidneys.
  • Avoid over-the-counter pain killers and excessive use of non-steroidal anti-inflammatory drugs
  • Treat kidney stones promptly through surgery or drugs as long-term obstruction in the outflow tract of urine results in kidney damage
  • Hypertension related to pregnancy should be managed effectively to safeguard kidney health of both mother and child
  • Aggressive management of urinary tract infections helps prevent kidney failure, especially in female patients of diabetes

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