Experts recommend checking microalbuminuria during physical examination for “diabetic friends”
Yangcheng Evening News reporter Zhang Hua reported: In the next 5-10 years, the patients with uremia and dialysis will be mainly diabetic patients . March 10 is the 17th World Kidney Day. Yu Xueqing, chairman of the International Society of Peritoneal Dialysis, executive director of the International Society of Nephrology, and chairman-designate of the Asia-Pacific Nephrology Branch, pointed out in an interview with a reporter from the Yangcheng Evening News that although my country is currently end-stage renal failure The first cause of uremia is glomerulonephritis, but diabetes can induce kidney damage. There are 120 million diabetic patients in my country. With the current trend of rapid increase in the incidence of diabetes, it is speculated that after 5-10 years, uremia, need Dialysis patients are mainly diabetic patients.
“Sugar kidney” will be the first cause of uremia
It is said that in the past few decades, in most developed countries in the world, diabetes has been an overwhelming majority of the number of people. The leading cause of uremia. It is expected that this situation will also be staged in our country soon.
In recent years, the incidence of diabetic nephropathy has increased rapidly in my country. Yu Xueqing said: “According to statistics, there are 120 million diabetic patients in my country. If they cannot control risk factors such as blood sugar and blood pressure, they are likely to suffer from diabetic nephropathy (“sugar kidney” for short) in ten or twenty years, or even It usually takes 10-15 years to develop from diabetes to ‘sugar kidney’, and then from ‘sugar kidney’ to renal failure, so for our country, ‘sugar kidney’ will eventually be in the end-stage Kidney failure (uremia) is the number one cause, and this process only takes 5 or 10 years.”
In fact, this trend has already emerged in the nephrology departments of some hospitals. According to statistics, currently in the Department of Nephrology of Guangdong Provincial People’s Hospital, 25% of all dialysis patients need dialysis due to “sugar kidney” eventually becoming uremia. In addition, about 8% of kidney biopsy cases each year are in people with diabetes. It can be said that in recent years, the number of “sugar kidney” patients has increased significantly.
Most “diabetics” have insufficient knowledge about kidney disease
Even though the incidence of “diabetics” has been increasing significantly, most “diabetics” are not aware of kidney disease. Still lack of understanding. Yu Xueqing said: “Most chronic kidney disease is now insidious, and there are not many symptoms in the early stage, unlike in the past when acute nephritis would have swollen eyes, swollen feet and other symptoms. Therefore, many ‘sugar kidney’ patients have obvious symptoms. It was discovered.”
How can diabetics detect kidney damage early? Yu Xueqing pointed out that, in fact, the most important thing for early detection of kidney disease is physical examination, routine urine test and urine microalbumin, which are the simplest and most effective methods.
It is worth noting that when the urine routine of the general physical examination item shows positive (+) urine protein, the condition of “sugar kidney” is already relatively serious. Therefore, clinically, many diabetic patients have progressed to renal failure when they discover renal disease. Experts emphasize that during the physical examination, “diabetic friends” must check microalbuminuria (quantitative examination), which can detect kidney damage as soon as possible.
The survey shows that the proportion of drug-induced kidney injury is high
In addition to diabetes can induce kidney disease, the kidney itself is also vulnerable to drug-induced damage due to its structural and functional characteristics. Studies have shown that the incidence of drug-induced kidney injury in my country has been on the rise for more than 10 years. Among them, the incidence of antibiotic-induced kidney injury is the highest, reaching 36%. In addition, the nephrotoxicity of some Chinese herbal medicines cannot be ignored. The epidemiological survey in Guangdong showed that among all the causative factors of renal injury, the proportion of drug-induced renal injury (including western medicine and Chinese herbal medicine) was slightly higher.
Yu Xueqing pointed out that long-term use of certain drugs, despite their low nephrotoxicity, will eventually cause kidney damage. Second, people who already have kidney damage are definitely more sensitive than others when taking nephrotoxic drugs. The third is the use of drugs with strong nephrotoxicity, which will quickly cause kidney damage. For example, the common Chinese herbal medicines Aristolochia, Tripterygium, Chuanmutong, Guangfangji, etc. are used. In addition, taking Chinese herbal medicines with excessive heavy metals will also cause kidney damage, so when using Chinese medicine, you should pay attention to purchasing through regular channels.
Editor: Bao Yi