As World Kidney Day approaches on March 13, attention is being drawn to the critical connection between diabetes and kidney health. With approximately 4.2 million South Africans living with diabetes, it is vital to understand the significant role diabetes plays in the development of chronic kidney disease (CKD).
Diabetes is one of the leading causes of CKD globally. Around 40% of individuals with either type 1 or type 2 diabetes develop diabetic kidney disease (DKD), a condition where damage to the small blood vessels in the kidneys impairs their function. If left untreated, DKD can progress to kidney failure, requiring costly treatments like dialysis or a kidney transplant. In South Africa, dialysis can cost up to R450,000 per patient per year, placing a heavy financial burden on both patients and the healthcare system.
Ingrid Singels, Marketing Manager of Pharma Dynamics’ Scientific Division, stressed the importance of regular kidney monitoring and proactive management for diabetic patients. “People living with diabetes are at higher risk of developing diabetic kidney disease if they have uncontrolled blood sugar, high blood pressure, high cholesterol, are smokers, obese, or have a family history of the condition,” Singels explained. “Early detection is crucial in preventing the progression of DKD.”
Singels urged people with diabetes to undergo two simple tests: the albumin creatinine ratio (ACR) test, which detects the presence of albumin (a protein) in the urine, and the glomerular filtration rate (GFR) test, which measures how well the kidneys are filtering waste from the blood. “Regular kidney function tests, along with effective diabetes management—such as controlling blood sugar levels, maintaining a healthy diet, staying active, and following prescribed medication—can help slow kidney damage and improve long-term outcomes.”
Managing diabetes effectively is essential to preserving kidney health. Here are key strategies to reduce the risk of diabetic kidney disease:
Blood Sugar Control: Regularly monitor blood glucose levels, adhere to prescribed medications, and follow a balanced diet.
Blood Pressure Management: Keep blood pressure within recommended ranges to reduce strain on the kidneys.
Healthy Diet: Focus on a diet low in sodium and saturated fats, emphasizing fruits, vegetables, and whole grains.
Regular Exercise: Engage in at least 150 minutes of moderate-intensity aerobic activity each week.
Medication Adherence: Consistently take prescribed medications and consult healthcare providers before making any changes.
Regular Check-ups: Schedule routine medical appointments to monitor kidney function.
Maintain a Healthy Weight: If overweight, speak to your doctor about a weight-loss plan. If at a healthy weight, aim for regular physical activity.
Stop Smoking: Smoking exacerbates kidney damage. Consult with your doctor about strategies to quit.
Singels concluded, “Working closely with a doctor or dietitian ensures a tailored approach to managing both diabetes and CKD effectively, minimizing complications, and supporting overall health and well-being.”
With proactive management, individuals living with diabetes can help protect their kidney health and prevent the onset of severe complications like kidney failure.
Related Topics
