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Acute And Chronic Renal Failure – Diabetic Kidney Disease-Series Part 2

Acute and Chronic Renal Failure – Diabetic Kidney Disease is usually the result of unmanaged Type 1 and 2 Diabetes. 

acute and chronic renal failure-diabetic kidney diseaseAlso known asDiabetic Nephropathy,” it describes temporary or permanent damage to the kidneys, which results in the loss of normal kidney function.

 ➡ Acute Renal (kidney) Failure starts abruptly and is sometimes reversible.

 ➡ Chronic Renal Failure progresses slowly over several months and can lead to permanent renal failure, also known as End-Stage Renal Disease (ESRD).

ESRD is a serious condition.

The causes, symptoms, treatments, and outcomes of Acute and Chronic Renal Failure-Diabetic Kidney Disease-are different in several ways.

renal failurePotential causes of Acute Renal Failure include:

  • Myocardial Infarction (heart attack) 

A heart attack may occasionally lead to temporary kidney failure.

  • Diabetic Nephropathy

Diabetes can cause permanent internal changes, leading to kidney damage.

  • Rhabdomyolysis

This is kidney damage due to muscle breakdown. Some common causes are severe dehydration and infections.

Once again, chronic high blood pressure (hypertension) can lead to permanent kidney damage.

  • Decreased blood flow to the kidneys for a period of time

This can be as a result of blood loss or shock.

  • Lupus (SLE)

This is a chronic inflammatory/autoimmune disease that can injure the skin, joints, kidneys, and nervous system.

  • A prolonged urinary tract obstruction or blockage

There are many other potential causes, but any condition that impairs the flow of oxygen and blood to the kidneys (such as a heart attack) can result in Acute Renal Failure.

Potential causes of Chronic Renal Failure include:chronic renal failure

  • Diabetes

It can cause permanent changes, leading to kidney damage.

  • Hypertension: Chronic high blood pressure (hypertension) can lead to permanent kidney damage.
  • A prolonged urinary tract obstruction or blockage.
  • Polycystic kidney disease: A genetic disorder characterized by the growth of numerous cysts filled with fluid in the kidneys.

Although the symptoms of Acute and Chronic Renal Failure – Diabetic Kidney Disease-may be different for each person, these are the most common:

Symptoms Of Acute Renal Failure may vary depending on the underlying cause. They may include:

  • Hemorrhage
  • Fever
  • Weakness
  • Fatigue
  • Rash
  • Diarrhea or bloody diarrhea
  • Poor appetite

  • Severe vomiting
  • Abdominal pain
  • Back pain
  • Muscle cramps
  • No urine output or too-high urine output
  • History of recent infection
  • Pale skin
  • Nosebleeds
  • History of taking certain medications
  • History of trauma
  • Swelling of the tissues
  • Inflammation of the eye(s)
  • An abdominal mass
  • History of exposure to heavy metals or toxic solvents

Symptoms of Chronic Renal Failure may include:

  • Poor appetite
  • Vomiting
  • Bone pain
  • A headache
  • Insomnia
  • Itching
  • Dry skin
  • Fatigue with light activity
  • Muscle cramps
  • High urine output or no urine output
  • Recurrent urinary tract infections
  • Urinary incontinence
  • Pale skin
  • Persistent Bad breath
  • Hearing deficit
  • Abdominal mass
  • Tissue swelling
  • Chronic Irritability
  • Poor muscle tone
  • Change in mental alertness
  • Metallic taste in the mouth

However, because the symptoms of acute and chronic renal failure may also resemble other conditions or medical problems, always consult your doctor for a diagnosis.


Early Detection of Acute And Chronic Renal Failure-Diabetic Kidney Disease

Speak to your physician about testing your urine at regular intervals to check for a protein called albumin.

  • Healthy kidneys do not allow a significant amount of protein to pass through their filters. But filters damaged by kidney disease may let proteins such as albumin leak from the blood into the urine.

Having even a small amount of albumin in your urine is a sign that early kidney damage is present.

Treatment for Acute And Chronic Renal Failure-Diabetic Kidney Disease

Specific treatment is determined by your doctor based on:

  • Your age, overall health, and medical history
Extent of the disease

  • Your tolerance for specific medications, procedures, or therapies
Expectations for the course of the disease

  • Your opinion or preference

Treatment may include any or a combination of the following:

  • Proper Diet and 

  • Strict monitoring and controlling of blood glucose levels, often with medication and insulin injections
Medication to lower blood pressure

Treatment of hypertension with either ACE inhibitors or angiotensin receptor blockers (ARBs) is especially effective in slowing the progression of Diabetic Kidney Disease.

Treatment for End-Stage Renal Disease often initially includes dialysis to cleanse the blood.

  • Eventually, a kidney transplant may also be a consideration.

Take Away Message:

take care of you

Determined management of your Diabetes, which includes diet, exercise and blood pressure medications if ordered, can slow down, and often prevent, the onset and progression of Diabetic Nephropathy.

Although the idea of having to diet, lose weight. exercise and give yourself insulin injections is tough to face, consider the alternatives.

  • Learn to manage your Diabetes, either through your physician, a Registered Dietician or from a Certified Diabetic Educator.
  • Make a plan.

If you fail to plan, you plan to fail.

I will never tell you that it’s easy. What I will tell you, however, is that 



get informedHere’s the link to Part ONE of this series, in case you missed it:

Kidney Disease In Type 1 And Type 2 Diabetes-Part 1 of 2