Diabetes and your kidneys

A study found that having kidney disease meant a much higher risk of early death. GRAPHIC | NATION

What you need to know:

  • Singling this group of patients out for intensive treatment, or working harder to prevent kidney disease from taking hold, could be a powerful way of reducing deaths among people with diabetes, she added.

Keeping your kidneys healthy could be one of the best ways to extend your life if you have Type 2 diabetes, researchers have suggested.

The University of Washington study found that having kidney disease meant a much higher risk of early death. The research, in the Journal of the American Society of Nephrology, looked at mortality rates over a 10-year period in more than 15,000 adults, with and without diabetes.

Kidney disease was present in 9.4 per cent of the people without diabetes, and 42.3 per cent of those with diabetes.

They found that 7.7 per cent of those without diabetes or kidney disease died over the course of the decade-long study.

This rose to 11.5 per cent for people with diabetes but no kidney disease, but soared to 31.1 per cent for people with diabetes and kidney disease.

Lead researcher, Dr Maryam Afkarian, said: “People with type-two diabetes have many other risk factors for cardiovascular disease and mortality, so we expected that kidney disease would predict a part, but not a majority, of higher mortality.”

Singling this group of patients out for intensive treatment, or working harder to prevent kidney disease from taking hold, could be a powerful way of reducing deaths among people with diabetes, she added.

Cathy Moulton, a clinical adviser at Diabetes UK, said that if detected early, diabetic kidney disease could be controlled using blood pressure medication.

However, the charity’s 2012 report found that as many as three in 10 patients were missing out the simple blood or urine tests that would reveal their kidney problems.

She said: “There really is no excuse for this – there is clear guidance saying that kidney function should be tested.

“Very often the doctor will be taking blood for other purposes, such as checking cholesterol levels, so it is the easiest thing in the world to do.”                                 

Kidney failure would cost thousands more in expensive dialysis treatments, she added. 

Diabetes UK has compiled a list of 15 “healthcare essentials” that it says every patient with the disease should read and ensure they are receiving from the NHS.