Chronic kidney disease on the rise in people with diabetes, blood pressure: Study | Health

The popularity of chronic kidney disease People in India are on the rise with chronic conditions like diabetes, high blood pressure and heart disease, according to the first phase of a Pan-India study conducted by the Society of Nephrology of India. According to an ongoing nationwide study, among people with Diabetes and blood pressureAt least 30% are found to have chronic kidney disease, a disease that rarely has any symptoms at first and leads to gradual kidney failure. Ours kidney Filters waste and excess fluid out of the blood through urine, however in the case of advanced chronic kidney disease, a person will experience a buildup of dangerous fluids, electrolytes and waste products. (Also read: World Diabetes Day 2022: Doctors give advice to no more diabetes and disease remission)

The study says it is taking place in tier 1 and tier 2 cities and aims to screen 2.5 lakh patients in the coming months. The results of phase 1 of the study were carried out with about 1,500,000 patients. Previous studies on chronic kidney disease in India were relatively smaller, including only a few thousand patients.

Dr. Sanjeev Gulati, Principal Director – Department of Nephrology & Kidney Transplantation at Fortis Vasant Kunj Hospital is conducting the study together with Dr AK Bhalla, Dr Narayan Prasad and Dr Abhas. Dr. Gulati shared the findings of this study exclusively with HT Digital over a phone call.

“The idea is to know what the prevalence of chronic kidney disease is, what the cause is, because most patients come to us at a very late stage. There are five stages and patients come to us. in stages 4 and 5. chronic kidney disease We don’t know the current burden, there are various studies including one that I did in 1999 on stage 5 chronic kidney disease, seems to suggest that diabetes is the #1 cause of dialysis patients. . As people turn to doctors for hypertension, diabetes, we wanted to look at the prevalence of chronic kidney disease in This group of patients. This is an all-India study being carried out in four regions and the goal is to screen 2.5 lakh patients in different tier 1 and tier 2 cities,” said Dr. Gulati. shared his research findings in a phone conversation with HT Digital.

Sharing more details about the study, Dr. Gulati said that in the first phase, they reached out to nearly 1500 doctors from all cities and trained them while the second part was about the implementation in which the work was carried out. company engaged in resources, providing simple points of care. test uristics.


“In the segment of people who go to the doctor, 30% of them have microalbuminuria or proteinuria, which is the earliest sign of kidney disease – its #1 cause is diabetes, followed by blood pressure. When we looked at previous smaller studies done out of thousands, they showed up to 15%, 10% or 18% (incidence of kidney disease) chronic kidney disease in people with diabetes and high blood pressure), while this study says 30% There is an increase in the prevalence of chronic kidney disease We need to encourage people to control their blood sugar and BP good because it also prevents them from getting chronic kidney disease,” Dr. Gulati told us.


Dr. Gulati says people don’t know that they can get kidney damage with diabetes or high blood pressure. He says that’s especially true of the many people who haven’t properly managed their BP or sugar levels for years trying unproven therapies like homeopathic or herbal remedies that we don’t recommend. .


“There are fairly standardized treatments for kidney disease but you can’t wait for the symptoms. High-risk patients like those with chronic conditions should be screened every year because there are very good drugs out there. at an early stage can control the degree of protein leakage”. he say.

“Through our studies, we hope to convince the Ministry of Health that there should be a national kidney disease screening program because currently the dialysis program is just the tip of the iceberg. A lot. people are going to die before they get dialysis. You end up spending 50 times more money on tertiary prevention. Primary prevention is finding these people early by screening and treating them,” Dr. Gulati concluded.


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