By Your Call Publishing | ,

Castle Medical Centre - December 22/January 23

Focus On Diabetes and Kidney Disease

Diabetes is a long-term disease where people have high sugar in their blood stream, affecting blood vessels, nerves and organs of the body. Imagine having sugar cubes in your mouth against your cheek and the trauma it causes to the mucosal lining, the process in the rest of the body is fairly similar, only you cannot see or feel it. The high sugar in the blood affects almost every organ including eyes, heart, nerves, gut, skin, kidneys and brain.

Currently almost 4.9 million people in the UK have diabetes but more importantly almost 15 million have a condition called pre-diabetes where blood sugars are higher than normal, but you can prevent sliding into diabetes with diet control, weight reduction, and adopting an active lifestyle. A million people in the UK do not know they have diabetes and it is really important to get a blood test done at your GP surgery. This is more so if you are gaining weight, have a family history of diabetes, are drinking more fluids or weeing more, feeling tired or getting recurrent skin and urine infections. An important symptom in men is problems with erection, which is well known to predate diabetes by a few years.

Apart from reducing sugar in foods, it is important to reduce sugary drinks including fizzy pop which increase the sugar in your blood stream. Castle Medical Centre has a robust diabetes prevention programme if you are diagnosed with pre-diabetes, so it is worthwhile getting checked for this condition.

One of the earliest organs affected in diabetes is the kidneys. The high sugars cause kidneys to reduce their business of throwing out waste material from the body and become leaky and start throwing out proteins which really should be retained by them. This is called Chronic Kidney Disease. This is checked by blood and urine tests in the surgery.

In most people with well controlled diabetes, kidney disease is stable. It is important to have regular checks with your diabetes nurses at least every year. If the kidneys start deteriorating, the body retains more and more waste material called creatinine and leaks out precious proteins called albumin leading to Grade 3 and Grade 4 kidney disease, occasionally leading to dialysis where doctors use machines to remove the build-up of waste material from the body.

A high blood pressure can worsen chronic kidney disease as its blood flow is compromised. Early chronic kidney disease is reversible by good control of blood pressure and blood sugars, stopping smoking and adopting a healthy lifestyle. Checking your blood pressure is vital and should be done yearly.

Your surgery has a dedicated diabetes team to diagnose, treat and offer support with your diabetes.

The treatment of diabetes and chronic kidney disease has undergone revolutionary changes in the past few years and your surgery is able to offer these services to you.

Wishing you good health and cheer.

Dr Suparna Behura
Diabetes Lead
Partner and Trainer - Castle Medical Centre

Monday-Friday – 8.00am-6.30pm
Tel – 01926 857331
Facebook – @CastleMedKenilworth
Twitter – @Castle_Med
22 Bertie Road, Kenilworth, CV8 1JP