Hanoi Mr. Toan, 45 years old, has diabetes, is treated with medication but the effectiveness is reduced, causing high blood sugar and chronic kidney failure.
Mr. Toan came to Tam Anh General Hospital in Hanoi for a check-up at the end of June, with swelling all over his body, fatigue, frequent difficulty breathing, and labored breathing. His blood sugar level was higher than normal. He had a history of diabetes, high blood pressure, and stroke for many years. After examination, the doctor diagnosed him with complications of stage 4 chronic kidney disease.
Mr. Toan said he had been examined at several hospitals and was still taking medication to treat diabetes. According to Dr. Le Ba Ngoc, Head of the Department of Internal Medicine, recently, some of the patient's diabetes pills had lost their effectiveness, causing high blood sugar and worsening kidney failure. The doctor adjusted the dose of the old medication according to the patient's kidney failure condition, changed to some new medications, and added diuretics. The patient's blood sugar level gradually stabilized, and symptoms of kidney failure such as edema and shortness of breath gradually decreased.
Doctor Ba Ngoc visits a patient after adjusting the medication. Photo: Provided by the hospital
Diabetic patients may develop kidney complications, progressing to chronic kidney disease and end-stage renal failure. End-stage renal failure due to diabetic complications is the leading cause of patients requiring periodic hemodialysis. Diabetic kidney disease also increases the risk of death from cardiovascular disease and reduces the patient's quality of life.
Doctors recommend that patients need regular check-ups if diabetes has kidney complications to replace or adjust medication dosage in cases such as more severe kidney failure, decreased glomerular filtration rate, and high blood sugar.
Dr. Ngoc added that many studies have proven that some new generation diabetes drugs in the SGLT2 group are effective in controlling blood sugar levels. The drugs also have the effect of protecting the kidneys, slowing the progression to end-stage renal failure. For patients with kidney failure, sulfonylurea drugs such as Diamicron, Amaryl, Glibenclamide can lead to hypoglycemic side effects. Metformin drugs such as Glucophage need to adjust the dosage depending on the glomerular filtration rate. These drugs need to be prescribed by a doctor.
Patients should not buy and use herbal medicines of unknown origin because they can cause dangerous kidney complications. There are many cases where patients using these medicines develop end-stage kidney failure and require emergency dialysis.
Kidney complications due to diabetes can be prevented if detected early. Quantifying microalbuminuria in urine is a test that helps detect kidney complications early. Doctors recommend early intervention with new generation diabetes drugs, antihypertensive drugs belonging to the ACE inhibitor group or AT1 receptor inhibitor group at the early stage of kidney complications to help slow the progression of chronic kidney failure.
Hoa Ba
*Patient's name has been changed.
At 8:00 p.m. on July 11, Tam Anh General Hospital Hanoi organized an online exchange program "From diabetes to kidney failure" broadcast on VnExpress 's fanpage. The program has the participation of leading doctors in the field of Endocrinology - Diabetes and General Internal Medicine such as: Dr. Hoang Kim Uoc, Head of the Department of Endocrinology - Diabetes; Dr. Le Ba Ngoc, Head of the Department of General Internal Medicine; Master. Dr. Ha Tuan Phung, Deputy Head of the Department of General Internal Medicine. The doctors will answer questions about kidney failure complications in diabetic patients. Readers can ask questions here. |
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