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Diabetes management is key to lowering kidney disease




[SYDNEY] Researchers report an increase in the burden of kidney disease in the Asia-Pacific region, the International Society of Nephrology (ISN) reported on the World Kidney Atlas of Kidneys launched at the World Congress of Nephrology (12-12 April) in Melbourne, Australia.

The report highlighted the urgent need for proper management of diabetes in order to reduce the burden of end-stage renal disease (ESKD), also known as end-stage renal disease, the last stage of chronic long-term renal disease.In 2001 and 2014, ESKD has grown more than 1,000 percent in Thailand, 190 percent in the Philippines and 162 percent in Malaysia, where diabetes has been the cause in most cases.In the world, 160 million patients with type 2 diabetes are at risk of developing chronic kidney disease.

"If treated and administered early, it is possible to slow the progression of kidney disease and prevent people from having dialysis, and two thirds to 90 percent of the population in some Asian Pacific countries do not have access to dialysis,

Peter Kerr, ISN Oceania and South East Asian Regional Council

NEW YORK (Reuters Health) – A drug, Canagliflozin, approved to lower blood sugar levels in people with diabetes, led to a nearly one-third decline in ESKD and death from kidney causes, according to a new clinical trial. CRDENCE (Canagliflozin and Endaloints Kidney Diabetes with established Nephropathy Clinical Assessment) trial was introduced by the Sydney-based Institute for Global Health.

Kidney disease is a major contributor to non-communicable diseases in the world (NCDs) both as a cause and as a result of other major diseases – hypertension, stroke and cardiovascular disease. Preventing kidney disease by screening of diabetes, dealing with obesity and managing blood sugar and high blood pressure are known to be more cost-effective than treating for kidney complications.

Peter Kerr, chairman of the ISN Oceania and South East Asia Regional Council, director of nephrology, Monash Medical Center in Melbourne, says SciDev.Net, "In Southeast Asia, there is a lack of awareness of obesity.The rate of obesity has rocketed in Malaysia, where 20 percent of the adult population is now diabetic.This will lead to an escalation in kidney disease and failure.Taiwan, where the diabetes rate went very high, now has the highest rate Of renal failure in the world.

"In the whole region, the incidence of kidney disease is between 8 and 12 percent of the population, and a simple urine test for the protein can detect early signs of kidney disease." If treated and administered early, the progression of kidney disease can be slowed and people do not need dialysis, 90 percent of the population in some Asian-Pacific countries do not have access to dialysis, "Kerr adds.

The second ISN Global Kidney Health Atlas Shows that in low-income countries, many of which are in the Asia-Pacific region, only four percent of people have access to renal replacement therapies (RRT). These treatments include peritoneal dialysis (whereby the inner lining of the patient's abdomen is used as a natural filter), hemodialysis (where a machine is used to filter the patient's blood) and kidney transplantation.

Among the countries of the South Pacific, only Samoa and Tahiti have a government-funded dialysis service. "We can provide a better, more effective, and effective RRT for end-stage renal disease in Samoa through additional kidney transplants to educate patients and family to dialysis at home," said David Voss, medical director of KidneyKare Ltd., New Zealand, and a visiting nephrologist at the National Kidney Foundation of Samoa. "He said.

Devia Singh Shah, director of the Department of Nephrology at the University of Tribhuvan University Medical Hospital in Kathmandu (Nepal) and an ISN colleague at Monash Medical Center offers the example of other countries.

"We can learn and imitate the policies and guidelines for transplantation from developed countries," she said, "and there are strict laws on who can be a kidney donor, to deter tourism and to prevent poor people from being exploited by organ dealers. Dead donors ".

The Congress concluded by recommending an equitable approach to the prevention, detection, treatment and treatment of kidney disease in order to prevent two annual deaths worldwide due to little or no access to dialysis or transplantation.

This work was produced by SciDev.Net in the Asia-Pacific desk.


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