Is it better to have diabetes but my kidneys are still healthy?

[Diabetes mellitus]

Does diabetes really cause kidney disease?

- The presence of high blood sugar levels in diabetics. It negatively affects the walls of blood vessels, especially the capillary walls of the kidneys, causing kidney function to be damaged, causing protein leakage in the urine. In addition, diabetics have low immunity. It is easy to get infected, especially urinary tract infections. Frequent infections affect kidney tissue and can cause diabetes in the kidneys.
- What are the symptoms of diabetes mellitus? What are the complications that follow?

Early symptoms: Frequent bowel movements, foamy urine.

End-stage symptoms: Symptoms of end-stage chronic kidney failure include fatigue, paleness, swelling, tiredness, abnormal mineral balance and acidity in the body.

Important: If you have diabetes in your kidneys, you may need to pay for your children. There is a higher risk of end-stage chronic kidney failure, which leads to increased kidney replacement therapy and an increased risk of cardiovascular disease. Compared to patients with well-controlled diabetes.
Risk factors that can cause kidney diabetes
Very high sugar levels. Poor control
Diabetes mellitus with minor vascular complications such as diabetic retinopathy.
High blood pressure levels Poor control Continuous for a long period of time.
High blood lipid levels
smoking
Obesity
Have a history of chronic kidney failure in immediate family members.
If you have diabetes, you have these risk factors. There is a greater chance of causing diabetes in the kidneys. In addition, diabetes mellitus has a rapid deterioration in the course of the disease. If there are triggering factors. For example, infections in the body, especially urinary infections. Urinary tract obstruction, ureteral swelling, kidney stones, and the use of drugs that are toxic to the kidneys.
How to screen for diabetes in the kidneys
Blood test: Renal filtration rate (eGFR), kidney function and waste products (BUN/Creatinine)
Urine test: Urine microalbumin
- If you have diabetes, Screening for diabetes mellitus is very necessary even if there are no abnormal symptoms. Having abnormal symptoms means that the kidneys have been affected by diabetes for a while. *
  - How to treat and prevent diabetes in the kidneys: Mainly use* 7 control 2 abstain*
  - 1 Control blood sugar level HbA1C <6.5-7 # Control sweet foods, take or inject blood sugar lowering drugs regularly, and visit a doctor by appointment.
  - 2. Control blood <pressure 130/80 mmHg and should use antihypertensive drugs that can slow down kidney degeneration, such as ACEi, ARB.
  - 3 Control LDL-C <lipid level 100 mg/dL
  - 4 Control salty foods to reduce edema
  - 5 Control high-protein diet # The results of the study showed that eating a low-protein diet is a good quality protein according to the doctor’s recommendation. It can slow down the deterioration of kidney function.
  - 6 Control body weight
  - 7 Control Exercise # Exercise regularly for at least 150 minutes per week
  - 1 Refrain from smoking # Quitting smoking reduces the leakage of egg white protein in the urine and can slow down kidney degeneration.
  - 2. Refrain from medications that have a negative effect on the kidneys, such as NsAIDs, herbal medicines, and bolus medicines.