Renal Health & Intervention
Centre for Renal Health and Intervention The department of Nephrology at the Centre for Renal Health and Intervention (CRHI), Meitra Hospital, Kozhikode aims to provide comprehensive clinical care integrated with transparent, ethical practices and cutting edge research. Our endeavour is to facilitate an exceptional experience for patients tethered to the best possible clinical outcomes, in tune with the larger Meitra Hospital vision. The department in phase one of inception is manned by two consultants and assisted by a dedicated team of Dialysis nurses, Technicians and other support staff. Comprehensive Nephrology care is offered; comprising of outpatient services including multidisciplinary speciality clinics, in patient renal care including consultation service and ICU dialysis, maintenance hemodialysis, peritoneal dialysis, treatment of poisoning, renal biopsy and management of Glomerular disease, Plasmapheresis and Plasma Exchange, The centre is equipped to provide the full range of transplantation services both living donor and deceased donor kidney transplantation. The hemodialysis unit and outpatient clinics of the CRHI are located on the first floor in the main outpatient area adjacent to the day care space. The outpatient department will function daily 9.30 AM to 5.00 PM. Maintenance hemodialysis unit will be operational Monday to Saturday 7.30 AM to 5.30 PM. Emergency hemodialysis will be provided round the clock. Inpatient services are available throughout the day.

Diabetic Nephropathy

Diabetic nephropathy, also termed as diabetic kidney disease is the damage to kidneys due to diabetes. This condition affects the kidney’s ability to filter out waste products from the blood. Diabetic nephropathy is a slowly progressive condition that can cause permanent damage to kidneys and may lead to kidney failure. The condition can be deadly or life threatening.

Causes

Diabetic nephropathy occurs when diabetes damages the kidney cells. Hence the major cause is poorly managed diabetes, especially type 1 and type 2 diabetes. Other causes include:

  • Hypertension-high blood pressure
  • High cholesterol levels
  • Family history
  • Smoking
Symptoms

Early stages of diabetic nephropathy may not exhibit any symptoms. The condition slowly progresses and damages the kidney’s ability to filter waste products from blood. The signs that may occur as the diseases progresses are:

  • Loss of appetite
  • Weight loss
  •  Muscle cramps
  • Swelling in hands or eyes
  • Shortness of breath
  • Frequent urination
  • Poor control on blood pressure
  • Tiredness
  • Itchy skin
  • Swelling in feet or ankles
  • Difficulty in concentrating
  • Protein in urine
Diagnosis

Diagnostic procedures for diabetic nephropathy may include the following:

  • Review of signs and symptoms
  • Medical history
  • Physical examination
  • Urine tests
  • Blood tests
  • Imaging procedures
    • X-ray
    • Ultrasound
    • CT-Computerised tomography
    • MRI-Magnetic resonance imaging
  • Kidney function tests
  • Kidney biopsy
Prevention
  • Maintain healthy levels of blood sugar, cholesterol and pressure levels
  • Avoid or stop smoking
  • Maintain a healthy weight
  • Avoid certain medication that can cause or increase the risk of diabetic nephropathy
  • Treat your diabetes
  • Eat a healthy and balanced diet.
Treatment

The major and most important step in the treatment of diabetic nephropathy is to control diabetes. 

  • Medications are mostly used in the early stages. Drugs may be prescribed to:
    • Control high blood sugar
    • Control high blood pressure
    • Control cholesterol levels in blood
    • Control protein in urine
    • Manage calcium phosphate balance for good bone health.

Advanced stages of diabetic nephropathy may require kidney dialysis and kidney transplant.

  • Kidney dialysis is the method of purifying blood either using fluids (peritoneal dialysis) or using a machine (hemodialysis).
  • Kidney transplantation is the replacement of damaged kidneys with a healthy kidney from a donor.

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