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Your search term(s) "kidney failure" and "diabetes" returned 3 results.

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Diabetic Kidney Disease in Transitional and Disadvantaged Populations. IN: Cortes, P. and Mogensen, C.E., eds. Diabetic Kidney. Totowa, NJ: Humana Press. 2006. pp. 375-400.

This chapter on diabetic kidney disease in transitional and disadvantaged populations is from a clinical textbook on the diabetic kidney. After a brief introduction that includes an epidemiological overview, the authors discuss socioeconomic factors, barriers to care, rate of progression, comorbidities, prevention of diabetic nephropathy in these populations, treatment of end stage renal disease (ESRD), and renoprotective and financial considerations, environmental factors—intrauterine exposures, infections, environmental toxins, exposure to tobacco. Specific populations discussed include Asians, Indo-Asians, Pacific Islanders, Indigenous Australians and New Zealanders, African Americans and Afro-Caribbeans, Hispanic/Latino Americans, and Native Americans. The authors conclude that diabetic kidney failure is a common and growing problem in many transitional and disadvantaged populations throughout the world. Poverty and, paradoxically, the rapid emergence from poverty are, in part, responsible for the growing epidemic. These factors increase the risk of diabetes, calling for efforts focused on reducing the number of people who reach kidney failure through diabetes prevention and early screening and intervention in those who already have diabetes. The chapter begins with an outline of the topics covered and ends with an extensive list of references. 9 figures. 159 references.

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Diabetes and Dialysis. In Control. 1(2): 1. June 3, 2004.

This brief newsletter article serves as an introduction to a special issue on diabetes and dialysis. The author focuses on a concept called illness intrusiveness, which is defined as the extent to which lifestyle adjustments for chronic disease disrupt valued activities and interests. Many factors contribute to illness intrusiveness, including treatment time, difficulties in performing daily activities, fatigue, and other symptoms. Patients' perception of the intrusiveness of diabetes is often high; add to that the factors surrounding dialysis treatment and there are significant disruptions to normal life. The author cautions that intrusive illnesses like kidney failure and diabetes often cause depression. Depression can, in turn, limit the patient's ability to respond to education and to follow treatment guidelines; a vicious cycle can result. Readers are encouraged to be an active member of their own patient care team, particularly in efforts to integrate diabetes and kidney disease care.

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Kidney Failure: Early Detection Is Key. Mayo Clinic Health Letter. 18(10): 1-3. October 2000.

This health information newsletter article describes the role of early detection in the adequate treatment of kidney failure. The author notes that kidney failure (the term for a decline in kidney function) is becoming more common because people are living longer with chronic illnesses that can harm their kidneys. To preserve kidney function, it is important to manage conditions that can affect the kidneys, as well as to recognize and treat kidney failure as early as possible. The article briefly reviews the anatomy and function of the kidneys, which not only filter out waste products but also regulate certain chemicals in the body, produce several important hormones (for manufacturing red blood cells), regulate blood pressure, and maintain bone calcium. The majority of people who need dialysis because of kidney failure have diabetes mellitus, hypertension (high blood pressure), or both. The symptoms of kidney failure may go unrecognized until substantial damage has occurred and kidney function is at just a small fraction of the normal level. The destruction of the filtering nephrons in the kidney can result in symptoms including a prolonged flulike illness, headaches, fatigue, itchiness over the entire body, a need to urinate less or more often, loss of appetite, and nausea and vomiting. When fewer nephrons are functioning, wastes and fluids accumulate in the blood. However, simple blood tests and urinalysis done during a routine exam may detect kidney failure even before symptoms show up. The article concludes by reminding readers of the importance of controlling high blood pressure in order to prevent or delay kidney failure, the need to control blood glucose (sugar) levels for people with diabetes, and the concept of maintaining adequate and healthy nutrition and fluid levels (including avoiding toxic drugs or herbal supplements). One sidebar reviews the most common tests of kidney function which check for creatinine, blood urea nitrogen (BUN), and proteinuria (protein in the urine). 2 figures.

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