Hyderabad India’s Diabetic Capital: Virinchi Hospitals

2 of 5 diabetics have kidney ailment

March 14, yderabad: Virinchi Hospitals celebrated World Kidney Day in a very unique manner. To create awareness of kidney related ailments and procedures, Virinchi Hospitals had conducted a massive consumer engagement program where over 500 patients have attended the event to give their testimonials and to participate in activities like quiz show and much more.

Speaking on the World Kidney Day, Dr KS Nayak said, “We all know that Hyderabad is India’s diabetic capital, 1 out of 5 Hyderabadis has diabetes, thanks to our love of rice and recent lifestyle changes. However what is more alarming is that 2 out of 5 diabetics develop kidney complications and require comprehensive kidney care”.

Looking at the Indian statistics relating to chronic kidney failures, it is found that 17% of Indians have some form of chronic kidney disease. This figure was reached that in a study conducted by Harvard Medical School in partnership with 13 medical centres all over India. One third of the above people have advanced stages of the disease. Furthermore, there are 60 million people with diabetes in India, more than any other nation on the planet. Sadly, the majority of them are either not diagnosed or poorly treated.

The major reason of kidney failure is caused by diabetes; at least 30% of diabetics will develop chronic kidney disease because of diabetes. People with the last stage of kidney failure (technically called Chronic Kidney Disease Stage 5 or CKD-5) require dialysis and/or kidney transplantation as a life sustaining treatment. 40 % of such patients would have developed kidney failure because of diabetes.

2,00,000 new patients need dialysis treatment every year in India.  But the unfortunate reality is that only 10 to 20% of them get proper treatment.  The remaining people are either not diagnosed or unable to continue proper treatment. The majority of chronic kidney failure patients are diagnosed in the last stage. Though proper statistics are not available, it is accepted that almost 50% first see a nephrologist (kidney specialist) only in the last stage.

There are 0.4 dialysis centers per million populations in India. By contrast, Japan has 20 dialysis centres per million populations. This leads to only 4,000 kidney transplants being performed every year in India. The United States with one fourth the population of India performs 16,000 such operations per year. Kidney failure can affect people of any age group. While in the west, the majority of patients are elderly; in India kidney failure patients are much younger and can affect predominantly the working population.

However, it is not all that gloomy for kidney patients as they can lead normal life with the latest kidney care available. This has been proved by the patient testimonials played in the press conference.

Along with spreading awareness over the root cause of kidney problems, Virinchi Hospitals also suggested a few lifestyle changes to prevent kidney ailments. Diabetes is the most common cause of kidney failure, in which the kidneys no longer function. You can help reduce the risk of kidney failure by controlling diabetes. Along with medication, exercise and healthy diet are recommended for diabetes control.

High blood pressure, or hypertension, can contribute to the progression of kidney failure. High blood pressure can damage blood vessels in the kidneys, hindering the organs’ ability to remove waste and excess fluid from the body.

Excess fluid can, in turn, raise blood pressure even more. Along with medication, you are recommended to lose weight, if necessary, exercise more, limit alcohol consumption, and quit smoking. You may be able to lower blood pressure by eating a diet rich in fruit, vegetables, fish, nuts, legumes, and healthy fats, such as olive oil.

You may need to reduce your intake of sodium, or salt, which can build up in the body when the kidneys are not working properly, causing fluid retention. This can lead to swelling in the legs and abdomen and raise blood pressure.

You may need to reduce your intake of other minerals as well. These include phosphorus, which helps to build strong bones. When the kidneys aren’t functioning properly, excess phosphorus can build up in the body and reduce the amount of calcium in bones, weakening them and making them prone to breaking. You are recommended to limit your consumption of foods high in phosphorus—including dairy products, processed meats, bread, beer, colas, and chocolate.

Another mineral, potassium, helps to regulate heart rate. When the kidneys aren’t working properly, potassium can build up in the body, increasing the risk for an irregular heart rate, called an arrhythmia, or a heart attack. You are recommended to eat less of certain fruits, such as bananas, and vegetables, including broccoli that are rich in potassium.

People who have been diagnosed with chronic kidney disease and are not receiving dialysis treatment may be advised to eat less protein. When the kidneys aren’t functioning properly, they may not be able to filter protein, causing an unhealthy build-up in the urine called proteinuria.

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