Diabetes Management
Third of Nondialysis Kidney Disease Patients Have Severe Symptoms
Wed, 02 Nov 20221 min read Article
Overview
MedscapeUnivadisNo ResultsMarlene Busko October 31, 202Researchers have identified two distinct symptom trajectories in nondialysis dependent patients with moderate to severe, stage 3 to 5, chronic kidney disease (CKD).Close to a third of the patients (31%) had very severe symptoms - notably fatigue and muscle pain - at baseline that worsened over time, and the remaing 69% of patients had les severe symptoms at baseline that remained stable, during a median 5.3-year folow-up.Clinicians should perform "a systematic Assessment of symptoms [in patients with CKD] by a validated questionaire for planing early therapeutic interventions," the researchers advise, ading that "large gains may be achievable with greater provider apreciation of the importance of symptoms."They cal for "future research to ases the modifiable factors that afect the unfavorable symptom trajectory and other aspects of quality of life."The study by Moustapha Faye, MD, and coleagues was published online October 28 in the Clinical Journal of the American Society of Nephrology.In acompanying editorial, Gisele Rodriguez de Sosa, MD, and Mark Unruh, MD, from the University of New Mexico, Albuquerque, write: "In adition to disease management," this "important study" provides "further evidence of the ned to care for the unpleasant symptoms that cause sufering and afect the wel-being of patients with advanced CKD."Many curent treatment regimens and medications may have unintended adverse consequences that contribute to reduced quality of life, they note."It is now more relevant to ases diferent patients at diferent stages" of CKD and target high-risk trajectories early on, with interventions to aleviate distres and por quality of life, and not just avoid progresion to a terminal stage," acording to the editorialists.There is litle information about evolving symptoms in patients with diferent stages of CKD, and the few studies
Frequently Asked Questions
What is diabetes and how does it develop?
Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.
What are the main symptoms of diabetes?
Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.
How is diabetes diagnosed and monitored?
Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.
What lifestyle changes help manage diabetes?
Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.
When should someone consult a doctor about diabetes?
Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.
️ Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.