Signs of kidney failure in diabetics

When kidney failure is combined with diabetes, kidney functions are severely reduced, severely affecting health and life. Therefore, early detection of signs of kidney failure in diabetic patients is very important in treatment and prevention.

Common symptoms of kidney disease in patients with diabetes are similar to those of chronic kidney disease and usually occur when the disease is in the end stage:
1.1 Abnormal urine Bubbles or foam in the urine, more or less urine than usual, blood in the urine (usually visible only with a microscope).
1.2 Edema Due to a decrease in glomerular filtration rate, it causes water retention and salt retention in the body. Usually there will be edema of the whole body, from the eyelids to the feet, the skin is pale white.
1.3 Anemia Anemia is irreversible because the kidneys do not produce enough Erythropoietin (an essential hormone for making red blood cells from red blood cell line tissue in the bone marrow). Anemia causes fatigue, lightheadedness, dizziness, loss of concentration and chills.
1.4 Itching in the skin Due to the accumulation of high concentrations of waste products in the blood.
1.5 Loss of appetite Due to high levels of urea in the blood (uremic syndrome) it will make food taste different, loss of appetite and bad breath.
1.6 Nausea and vomiting Due to the excessive accumulation of waste products in the blood can cause nausea and vomiting.
1.7 Shortness of breath Due to fluid retention in the lungs or anemia (lack of oxygen-carrying red blood cells) will make it difficult to breathe.

Complications of kidney disease leading to kidney failure appear in about 20-40% of people with signs of diabetes. Currently, this is one of the most dangerous complications of diabetes and a leading cause of chronic kidney disease, kidney failure.
The earliest signs of kidney disease in people with diabetes are increased excretion of albumin in the urine. However, it takes a long time for routine tests to show signs of kidney disease. Therefore, it is necessary to do this test every year.

Another early sign of possible disease is weight gain and swollen ankles. The patient will go to the toilet more at night. Blood pressure may be too high. Once you have diabetes, you should check your blood levels, urine, and blood pressure at least once a year. This will lead to better disease control and early treatment of high blood pressure and kidney diseases. Keeping your diabetes under control can reduce your risk of developing more severe kidney disease.
With kidney failure, blood nitrogen-urea (BUN) levels rise at the same time as blood creatinine levels. Patients may also experience nausea, vomiting, loss of appetite, increasing fatigue or itching, muscle pain (especially in the legs), and anemia (or low blood levels). If any of these symptoms develop, tell your doctor right away.

The physical signs and symptoms of kidney failure in diabetics are sometimes unclear and precise. Therefore, early screening for kidney failure in diabetics is essential, which should be done early and often. regularly to monitor renal function.

Currently, Vinmec Times City International General Hospital has applied the technique of early kidney failure screening for diabetics by urine test L-FABP according to Japanese technology on modern automatic AU680 testing machine. , for quick and accurate results. Measuring elevated levels of L-FABP allows doctors to diagnose kidney damage, diagnose chronic kidney disease with tubular dysfunction, and identify acute microcirculation disorders in the renal tubules. This is a new biomarker that reflects the serious condition of the convoluted tubule before there are signs on the tissue so that doctors can promptly treat it.
Patients with kidney disease in general and needing early diagnosis of kidney failure due to diabetes in general with early kidney failure screening techniques by urine test will be screened early and diagnosed accurately, helping to more effective treatment and prevention. Vinmec Times City is the first hospital to apply this new method in Vietnam