PUBLIC AWARENESS PROGRAM ON WORLD KIDNEY DAY
DATE March 11, 2012 from 10am to 12pm
Location: Institute of Engineers Hall , next to IMA Hall , North Ambazari Road
Nagpur
Organized By: Central India Kidney Foundation , ACADEMY OF MEDICAL SCIENCES , CENTRAL INDIA NEPHROLOGY SOCIETY
Central India Kidney Foundation ( CIKF ) is organising a public talk on " Doctor , tell me about Kidney "
This will be held on Sunday , 11th March 2012 .
There will be 6 talks which includes anatomy , physiology , pathology, diseases , what happens when kidneys fail , how to protect , what is dialysis and kidney transplantation , what is cadaver donor , who can donate kidney , etc .
Specialists in kidney diseases i.e. nephrologists , physicians and urosurgeons are the faculties .
General public , students and patients are invited .
शनिवार, 3 मार्च 2012
World Kidney day
World Kidney day is a joint initiative of the International Society of Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF).
Mission statement:
The mission of World Kidney Day is to raise awareness of the importance of our kidneys to our overall health and to reduce the frequency and impact of kidney disease and its associated health problems worldwide.
Objectives
Raise awareness about our "amazing kidneys"
Highlight that diabetes and high blood pressure are key risk factors for Chronic Kidney Disease (CKD)
Encourage systematic screening of all patients with diabetes and hypertension for CKD
Encourage preventive behaviors
Educate all medical professionals about their key role in detecting and reducing the risk of CKD, particularly in high risk populations.
Stress the important role of local and national health authorities in controlling the CKD epidemic. Health authorities worldwide will have to deal with high and escalating costs if no action is taken to treat the growing number of people with CKD. On World Kidney Day all governments are encouraged to take action and invest in further kidney screening
Encourage Transplantation as a best-outcome option for kidney failure, and the act of organ donation as a life-saving initiative.
If detected early, Chronic Kidney Diseases can be treated--thereby reducing other complications and dramatically reduce the growing burden of deaths and disability from chronic renal and cardiovascular disease worldwide.
Mission statement:
The mission of World Kidney Day is to raise awareness of the importance of our kidneys to our overall health and to reduce the frequency and impact of kidney disease and its associated health problems worldwide.
Objectives
Raise awareness about our "amazing kidneys"
Highlight that diabetes and high blood pressure are key risk factors for Chronic Kidney Disease (CKD)
Encourage systematic screening of all patients with diabetes and hypertension for CKD
Encourage preventive behaviors
Educate all medical professionals about their key role in detecting and reducing the risk of CKD, particularly in high risk populations.
Stress the important role of local and national health authorities in controlling the CKD epidemic. Health authorities worldwide will have to deal with high and escalating costs if no action is taken to treat the growing number of people with CKD. On World Kidney Day all governments are encouraged to take action and invest in further kidney screening
Encourage Transplantation as a best-outcome option for kidney failure, and the act of organ donation as a life-saving initiative.
If detected early, Chronic Kidney Diseases can be treated--thereby reducing other complications and dramatically reduce the growing burden of deaths and disability from chronic renal and cardiovascular disease worldwide.
रविवार, 26 फ़रवरी 2012
Central India Kidney Foundation felicitates Messiahs of Humanity
Jethani donated her kidney to dewrani
Central India Kidney Foundation ( CIKF ) felicitated 12 kidney donors – the messiahs of humanity . They had donated their kidneys to their kith and kin . In these days when the families are breaking down , a jethani donated her kidney to her dewrani thus establishing that love and affection in family ties still prevail . Mostly the mothers came forward to donate precious organs to their sons or daughters . Father , wives and brother also donated their organs to save life of their near and dear .
Poet Shri Madhup Pandey said that this shows that river of humanity still flows , bond of love and affection still exists . He was addressing well attended gathering in the recently held installation ceremony of CIKF.
Prizes of drawing competition held on republic day were also distributed by the hands of Shri Madhup Pande. The winners were Group A ( up to 8 yrs ) 1st Prize – Palak Kothari and Anagha Bhalawi , 2nd prize Kalyani Jachak , 3rd prize Atharwa Diwate and Arya Chaudhari , consolation Shushut Bhalavi , Group B ( 9 to 12 years ) 1st prize Akanksha Rai , 2nd prize Anirudha Bawankar , 3rd prize Ankit Sapate , consolation Chirag Paraswani and Mansi Kothari , Group C ( 13 to 16 yrs ) 1st Prize Rohit Dhote , 2nd prize Mayur Indurkar , 3rd prize Ketan Indurkar and consolation prize Surabhi Bawankar .
On this occasion , New office bearers of Central India Kidney Foundation were installed by Shri Madhup Pande . The New team consists of President – Shri Anil Rathi , Vice President - Dr Nikhil Kibe , Secretary Dr Rajesh Soni , Treasurer Mrs Aparna Mahadevan , Joint secretary Dr Mrs Sushma Narkhede and members Mrs Allis Paul , Samad Khan , Dr Vandana Khushalani , Dr S.J.Acharya , Harshwardhan Dhanwate , Suresh Dixit , Dr T.Rawal , Dr S.Gupta , Dr D.Chatterjee , Dr S.M.Patil ,
Dr N.Saxena , Salimbhai Chimathanawala , Subhash Jobanputra , Vedprakash Wadhwani and Justice Dongaonkar .
At the outset outgoing president of the foundation Dr Vandana Khushalani welcomed the guests . Dr Rajesh Soni presented the various activities carried out by the foundation . In his address Poet Shri Madhup Pande lauded the work done by the foundation and said that such programs create awareness about organ donation among the masses .
Shri Anil Rathi , CA , said that the foundation strives to create public awareness and also works for helping patients suffering from kidney ailments.
Mrs Shanil Das conducted the program and Dr Mrs Sushma Narkhede proposed a vote of thanks . Dr Raju Kandelwal , Dr Sudhir Soni , Dr Shailendra Mundhada , Dr Prakash Khetan , Dr Gira Soni , Dr Mrs Vandana Baraskar , Shri Nilkantha Acharya were prominently present on this occasion .
Ms Vasudha Bharati , Ms Archana Kamble , Vibha Diwate , Mrs Shahida , Prakash Wagh , Mrs Shubhangi, Kiran Kulkarni and Mahendra Singh Huda put efforts in making the program successful .
Central India Kidney Foundation ( CIKF ) felicitated 12 kidney donors – the messiahs of humanity . They had donated their kidneys to their kith and kin . In these days when the families are breaking down , a jethani donated her kidney to her dewrani thus establishing that love and affection in family ties still prevail . Mostly the mothers came forward to donate precious organs to their sons or daughters . Father , wives and brother also donated their organs to save life of their near and dear .
Poet Shri Madhup Pandey said that this shows that river of humanity still flows , bond of love and affection still exists . He was addressing well attended gathering in the recently held installation ceremony of CIKF.
Prizes of drawing competition held on republic day were also distributed by the hands of Shri Madhup Pande. The winners were Group A ( up to 8 yrs ) 1st Prize – Palak Kothari and Anagha Bhalawi , 2nd prize Kalyani Jachak , 3rd prize Atharwa Diwate and Arya Chaudhari , consolation Shushut Bhalavi , Group B ( 9 to 12 years ) 1st prize Akanksha Rai , 2nd prize Anirudha Bawankar , 3rd prize Ankit Sapate , consolation Chirag Paraswani and Mansi Kothari , Group C ( 13 to 16 yrs ) 1st Prize Rohit Dhote , 2nd prize Mayur Indurkar , 3rd prize Ketan Indurkar and consolation prize Surabhi Bawankar .
On this occasion , New office bearers of Central India Kidney Foundation were installed by Shri Madhup Pande . The New team consists of President – Shri Anil Rathi , Vice President - Dr Nikhil Kibe , Secretary Dr Rajesh Soni , Treasurer Mrs Aparna Mahadevan , Joint secretary Dr Mrs Sushma Narkhede and members Mrs Allis Paul , Samad Khan , Dr Vandana Khushalani , Dr S.J.Acharya , Harshwardhan Dhanwate , Suresh Dixit , Dr T.Rawal , Dr S.Gupta , Dr D.Chatterjee , Dr S.M.Patil ,
Dr N.Saxena , Salimbhai Chimathanawala , Subhash Jobanputra , Vedprakash Wadhwani and Justice Dongaonkar .
At the outset outgoing president of the foundation Dr Vandana Khushalani welcomed the guests . Dr Rajesh Soni presented the various activities carried out by the foundation . In his address Poet Shri Madhup Pande lauded the work done by the foundation and said that such programs create awareness about organ donation among the masses .
Shri Anil Rathi , CA , said that the foundation strives to create public awareness and also works for helping patients suffering from kidney ailments.
Mrs Shanil Das conducted the program and Dr Mrs Sushma Narkhede proposed a vote of thanks . Dr Raju Kandelwal , Dr Sudhir Soni , Dr Shailendra Mundhada , Dr Prakash Khetan , Dr Gira Soni , Dr Mrs Vandana Baraskar , Shri Nilkantha Acharya were prominently present on this occasion .
Ms Vasudha Bharati , Ms Archana Kamble , Vibha Diwate , Mrs Shahida , Prakash Wagh , Mrs Shubhangi, Kiran Kulkarni and Mahendra Singh Huda put efforts in making the program successful .
शुक्रवार, 10 फ़रवरी 2012
Drawing Competition on Republic Day 2012
Like previous years , this year also CIKF had organised a drawing competition on 26th January . 76 children participated in this competition .
This was held at Dhantoli Garden . Incoming president CA Anil Rathi , honoirary secretary Dr Rajesh Soni , Dr Devashish Acharya and many others were present on this occasion .
After the competition , sweets were distributed .
This was held at Dhantoli Garden . Incoming president CA Anil Rathi , honoirary secretary Dr Rajesh Soni , Dr Devashish Acharya and many others were present on this occasion .
After the competition , sweets were distributed .
मंगलवार, 10 जनवरी 2012
Rani bids Good Bye
Rani Jethmalani will be remembered for her never say die attitude. Rani left for her heavenly abode recently.CIKF shall always be indebted to her for her encouragement during her visit to the city 4 yrs prior.
Rani had undergone liver as well as kidney transplantation . Rani had hepatitis C which resulted in liver failure for which she had liver transplant done . Later following drug nephrotoxicity , she lost her kidneys . She did not loose hope , and had a live kidney transplantation done .
She was very active and was always available to promote transplant program.
She had visited Nagpur to install Dr Vandana Khushalani as new president and Dr Nikhil Kibe as secretary of the CIKF . CA Dr T S Rawal was the outgoing president . Dr S.J.Acharya was the founder honorary secretary .
Rani was a source of encouragement for all patients with kidney disease . CIKF condoles death of Rani Jethmalani .
Rani had undergone liver as well as kidney transplantation . Rani had hepatitis C which resulted in liver failure for which she had liver transplant done . Later following drug nephrotoxicity , she lost her kidneys . She did not loose hope , and had a live kidney transplantation done .
She was very active and was always available to promote transplant program.
She had visited Nagpur to install Dr Vandana Khushalani as new president and Dr Nikhil Kibe as secretary of the CIKF . CA Dr T S Rawal was the outgoing president . Dr S.J.Acharya was the founder honorary secretary .
Rani was a source of encouragement for all patients with kidney disease . CIKF condoles death of Rani Jethmalani .
मंगलवार, 3 जनवरी 2012
Have you got Diabetes ? Must check your kidneys then !
By Dr S.J.Acharya
There are two types of diabetes . Type 1 used to be known as insulin-dependent diabetes mellitus or juvenile diabetes. In type 1 diabetes, the body stops producing insulin. People with type 1 diabetes must take daily insulin injections or use an insulin pump.
About 90 to 95 percent of people with diagnosed diabetes have type 2 diabetes, once known as non-insulin-dependent diabetes mellitus ( NIDDM ) or adult-onset diabetes. Many people with type 2 diabetes do not respond normally to their own or to injected insulin—a condition called insulin resistance.
Type 2 diabetes first occurs more often in people over the age of 40, but it can occur at any age—even during childhood. Many people with type 2 are overweight. Many also are not aware that they have the disease. Some people with type 2 control their blood glucose with meal planning and physical activity. Others must take pills that stimulate production of insulin, reduce insulin resistance, decrease the liver’s output of glucose, or slow absorption of carbohydrate from the gastrointestinal tract. Still others require injections of insulin in addition to pills
How kidneys are affected in diabetes ?
Kidneys filter blood . High levels of blood sugar make the kidneys filter too much blood. All this extra work is hard on the filters. After many years, they start to leak. Useful protein is lost in the urine. Having small amounts of protein in the urine is called microalbuminuria. When kidney disease is diagnosed early, (during microalbuminuria), several treatments may keep kidney disease from getting worse.
Having larger amounts of protein in urine is called macroalbuminuria. When kidney disease is caught later (during macroalbuminuria), end-stage renal disease, or ESRD, usually follows.
In time, the stress of overwork causes the kidneys to lose their filtering ability. Waste products then start to build up in the blood.
Finally, the kidneys fail. This failure, ESRD( end stage renal disease ), is very serious. A person with ESRD needs to have a kidney transplant or to have the blood filtered by machine (dialysis).
Overall, kidney damage rarely occurs in the first 10 years of diabetes, and usually 15 to 25 years will pass before kidney failure occurs. For people who live with diabetes for more than 25 years without any signs of kidney failure, the risk of ever developing it decreases.
Who gets kidney disease?
Not everyone with diabetes develops kidney disease. Factors that can influence kidney disease development include genetics, blood sugar control, and blood pressure.
The better a person keeps diabetes and blood pressure under control, the lower the chance of getting kidney disease.
Symptoms and diagnosis of kidney disease
Kidney disease produces no symptoms until almost 85% of function is gone. Also, the symptoms of kidney disease are not specific. The first symptom of kidney disease is often fluid buildup resulting in swelling of feet and face . Other symptoms of kidney disease include loss of sleep, poor appetite, upset stomach, weakness, and difficulty in concentrating.
It is vital to see a doctor regularly. The doctor can check blood pressure, urine (for protein), blood (for waste products), and organs for other complications of diabetes.
Kidney Disease Prevention
Control blood sugar
The Diabetes Control and Complications Trial (DCCT), a 10-year study which ended in June 1993, proved among type 1 patients that improved blood glucose control can prevent the onset and delay the progression of diabetic kidney disease. Therapy that keeps blood glucose levels as close to normal as possible reduced damage to the kidneys by 35-56%.
Research has shown that tight blood sugar control reduces the risk of microalbuminuria by one third. In people who already had microalbuminuria, the risk of progressing to macroalbuminuria was cut in half. Other studies have suggested that tight control can reverse microalbuminuria.
Control Blood Pressure
Four ways to lower your blood pressure are losing weight, eating less salt, avoiding alcohol and tobacco, and getting regular exercise.
When these methods fail, certain medicines may be able to lower blood pressure. There are several kinds of blood pressure drugs. Doctors usually prefer people with diabetes to take blood pressure drugs called ACE inhibitors (angiotensin-converting enzyme (ACE) inhibitors).
ACE inhibitors slow kidney disease in addition to lowering blood pressure. In fact, these drugs are helpful even in people who do not have high blood pressure.
ACE inhibitors have lowered proteinuria and slowed deterioration even in diabetic patients who did not have high blood pressure.
Any medicine that helps patients achieve a blood pressure target of 130/80 or lower provides benefits. Patients with even mild hypertension or persistent microalbuminuria should consult a physician about the use of antihypertensive medicines.
Moderate-Protein Diets
In people with diabetes, excessive consumption of protein may be harmful. Experts recommend that people with kidney disease of diabetes consume the recommended dietary allowance for protein, but avoid high-protein diets. For people with greatly reduced kidney function, a diet containing reduced amounts of protein may help delay the onset of kidney failure. Anyone following a reduced-protein diet should work with a dietitian to ensure adequate nutrition.
Intensive Management of Blood Glucose
Intensive management is a treatment regimen that aims to keep blood glucose levels close to normal. The regimen includes testing blood glucose frequently, administering insulin frequently throughout the day on the basis of food intake and physical activity, following a diet and activity plan, and consulting a health care team frequently. Some people use an insulin pump to supply insulin throughout the day.
Researchers have found a 50 percent decrease in both development and progression of early diabetic kidney disease in participants who followed an intensive regimen for controlling blood glucose levels.
Dialysis
Dialysis is a way of cleaning the blood with an artificial kidney. Dialysis is the more common form of kidney-replacement therapy. There are two types of dialysis: hemodialysis and peritoneal dialysis.
Hemodialysis
In hemodialysis, an artificial kidney removes waste from the blood. A surgeon must first create an "access," a place where blood can easily be taken from the body and sent to the artificial kidney for cleaning. The access, usually in the forearm, can be made from the patient's own blood vessels .The access is inside the body and cannot be seen from the outside. Usually, this surgery is done 2 to 3 months before dialysis starts so the body has time to heal.
Hemodialysis must be done 2 to 3 days per week, and lasts 3 to 5 hours each time. Blood travels through the artificial kidney, where waste products are filtered out, and the clean blood returns to the body. Usually, hemodialysis is done in a clinic, with many people receiving dialysis at the same time. Hemodialysis can also be done at home, but it requires a partner, such as a relative or friend, and special training.
Peritoneal dialysis
Another form of dialysis is called peritoneal dialysis. The lining inside the abdomen (the peritoneum) becomes the filter. A soft plastic tube is put into the abdomen by a surgeon. When the body heals, cleansing fluid (dialysate) is put into the abdomen through this tube. Waste products in the bloodstream pass through the peritoneum into the dialysate. Then the dialysate, along with the waste products is drained off. This is called an "exchange" and takes about 30-45 minutes. It is done 4 or 5 times a day. Between exchanges, the person can move around and perform daily activities.
Alternatively a machine can put the cleansing fluid into the abdomen and drain it automatically. This is usually done at night during sleep.
Peritoneal dialysis may be better treatment than hemodialysis for some people. With daily dialysis, the body does not build up too much fluid. This reduces the stress on the heart and blood vessels. A person is able to eat a more normal diet and have more time for work and travel.
Peritoneal dialysis is not for everyone, however. A person must be able to see well and do each step correctly to prevent infection in the abdomen.
Your doctor will help you decide whether hemodialysis or peritoneal dialysis is right for you. Diabetes control remains important no matter which type of dialysis is chosen.
Kidney Transplantation
Diabetes sometimes damages kidneys so badly that they no longer work. When kidneys fail, the person needs a way to replace their function, which is to clean the blood. One option is kidney transplantation.
Currently, the survival of kidneys transplanted into patients with diabetes is about the same as survival of transplants in people without diabetes. Dialysis for people with diabetes also works well in the short run. Even so, people with diabetes who receive transplants or dialysis experience higher morbidity and mortality because of coexisting complications of the diabetes—such as damage to the heart, eyes, and nerves.
Good Care Makes a Difference
If you have diabetes:
• Have your doctor measure your A1C level at least twice a year. The test provides a weighted average of your blood glucose level for the previous 3 months. Aim to keep it at less than 7 percent.
• Work with your doctor regarding insulin injections, medicines, meal planning, physical activity, and blood glucose monitoring.
• Have your blood pressure checked several times a year. If blood pressure is high, follow your doctor’s plan for keeping it near normal levels. Aim to keep it at less than 130/80.
• Ask your doctor whether you might benefit from taking an ACE inhibitor or ARB.
• Have your urine checked yearly for microalbumin and protein.
• Have your blood checked for elevated amounts of waste products such as creatinine. The doctor should provide you with an estimate of your kidney’s filtration based on the blood creatinine level.
• Ask your doctor whether you should reduce the amount of protein in your diet. Ask for a referral to see a registered dietitian to help you with meal planning.
There are two types of diabetes . Type 1 used to be known as insulin-dependent diabetes mellitus or juvenile diabetes. In type 1 diabetes, the body stops producing insulin. People with type 1 diabetes must take daily insulin injections or use an insulin pump.
About 90 to 95 percent of people with diagnosed diabetes have type 2 diabetes, once known as non-insulin-dependent diabetes mellitus ( NIDDM ) or adult-onset diabetes. Many people with type 2 diabetes do not respond normally to their own or to injected insulin—a condition called insulin resistance.
Type 2 diabetes first occurs more often in people over the age of 40, but it can occur at any age—even during childhood. Many people with type 2 are overweight. Many also are not aware that they have the disease. Some people with type 2 control their blood glucose with meal planning and physical activity. Others must take pills that stimulate production of insulin, reduce insulin resistance, decrease the liver’s output of glucose, or slow absorption of carbohydrate from the gastrointestinal tract. Still others require injections of insulin in addition to pills
How kidneys are affected in diabetes ?
Kidneys filter blood . High levels of blood sugar make the kidneys filter too much blood. All this extra work is hard on the filters. After many years, they start to leak. Useful protein is lost in the urine. Having small amounts of protein in the urine is called microalbuminuria. When kidney disease is diagnosed early, (during microalbuminuria), several treatments may keep kidney disease from getting worse.
Having larger amounts of protein in urine is called macroalbuminuria. When kidney disease is caught later (during macroalbuminuria), end-stage renal disease, or ESRD, usually follows.
In time, the stress of overwork causes the kidneys to lose their filtering ability. Waste products then start to build up in the blood.
Finally, the kidneys fail. This failure, ESRD( end stage renal disease ), is very serious. A person with ESRD needs to have a kidney transplant or to have the blood filtered by machine (dialysis).
Overall, kidney damage rarely occurs in the first 10 years of diabetes, and usually 15 to 25 years will pass before kidney failure occurs. For people who live with diabetes for more than 25 years without any signs of kidney failure, the risk of ever developing it decreases.
Who gets kidney disease?
Not everyone with diabetes develops kidney disease. Factors that can influence kidney disease development include genetics, blood sugar control, and blood pressure.
The better a person keeps diabetes and blood pressure under control, the lower the chance of getting kidney disease.
Symptoms and diagnosis of kidney disease
Kidney disease produces no symptoms until almost 85% of function is gone. Also, the symptoms of kidney disease are not specific. The first symptom of kidney disease is often fluid buildup resulting in swelling of feet and face . Other symptoms of kidney disease include loss of sleep, poor appetite, upset stomach, weakness, and difficulty in concentrating.
It is vital to see a doctor regularly. The doctor can check blood pressure, urine (for protein), blood (for waste products), and organs for other complications of diabetes.
Kidney Disease Prevention
Control blood sugar
The Diabetes Control and Complications Trial (DCCT), a 10-year study which ended in June 1993, proved among type 1 patients that improved blood glucose control can prevent the onset and delay the progression of diabetic kidney disease. Therapy that keeps blood glucose levels as close to normal as possible reduced damage to the kidneys by 35-56%.
Research has shown that tight blood sugar control reduces the risk of microalbuminuria by one third. In people who already had microalbuminuria, the risk of progressing to macroalbuminuria was cut in half. Other studies have suggested that tight control can reverse microalbuminuria.
Control Blood Pressure
Four ways to lower your blood pressure are losing weight, eating less salt, avoiding alcohol and tobacco, and getting regular exercise.
When these methods fail, certain medicines may be able to lower blood pressure. There are several kinds of blood pressure drugs. Doctors usually prefer people with diabetes to take blood pressure drugs called ACE inhibitors (angiotensin-converting enzyme (ACE) inhibitors).
ACE inhibitors slow kidney disease in addition to lowering blood pressure. In fact, these drugs are helpful even in people who do not have high blood pressure.
ACE inhibitors have lowered proteinuria and slowed deterioration even in diabetic patients who did not have high blood pressure.
Any medicine that helps patients achieve a blood pressure target of 130/80 or lower provides benefits. Patients with even mild hypertension or persistent microalbuminuria should consult a physician about the use of antihypertensive medicines.
Moderate-Protein Diets
In people with diabetes, excessive consumption of protein may be harmful. Experts recommend that people with kidney disease of diabetes consume the recommended dietary allowance for protein, but avoid high-protein diets. For people with greatly reduced kidney function, a diet containing reduced amounts of protein may help delay the onset of kidney failure. Anyone following a reduced-protein diet should work with a dietitian to ensure adequate nutrition.
Intensive Management of Blood Glucose
Intensive management is a treatment regimen that aims to keep blood glucose levels close to normal. The regimen includes testing blood glucose frequently, administering insulin frequently throughout the day on the basis of food intake and physical activity, following a diet and activity plan, and consulting a health care team frequently. Some people use an insulin pump to supply insulin throughout the day.
Researchers have found a 50 percent decrease in both development and progression of early diabetic kidney disease in participants who followed an intensive regimen for controlling blood glucose levels.
Dialysis
Dialysis is a way of cleaning the blood with an artificial kidney. Dialysis is the more common form of kidney-replacement therapy. There are two types of dialysis: hemodialysis and peritoneal dialysis.
Hemodialysis
In hemodialysis, an artificial kidney removes waste from the blood. A surgeon must first create an "access," a place where blood can easily be taken from the body and sent to the artificial kidney for cleaning. The access, usually in the forearm, can be made from the patient's own blood vessels .The access is inside the body and cannot be seen from the outside. Usually, this surgery is done 2 to 3 months before dialysis starts so the body has time to heal.
Hemodialysis must be done 2 to 3 days per week, and lasts 3 to 5 hours each time. Blood travels through the artificial kidney, where waste products are filtered out, and the clean blood returns to the body. Usually, hemodialysis is done in a clinic, with many people receiving dialysis at the same time. Hemodialysis can also be done at home, but it requires a partner, such as a relative or friend, and special training.
Peritoneal dialysis
Another form of dialysis is called peritoneal dialysis. The lining inside the abdomen (the peritoneum) becomes the filter. A soft plastic tube is put into the abdomen by a surgeon. When the body heals, cleansing fluid (dialysate) is put into the abdomen through this tube. Waste products in the bloodstream pass through the peritoneum into the dialysate. Then the dialysate, along with the waste products is drained off. This is called an "exchange" and takes about 30-45 minutes. It is done 4 or 5 times a day. Between exchanges, the person can move around and perform daily activities.
Alternatively a machine can put the cleansing fluid into the abdomen and drain it automatically. This is usually done at night during sleep.
Peritoneal dialysis may be better treatment than hemodialysis for some people. With daily dialysis, the body does not build up too much fluid. This reduces the stress on the heart and blood vessels. A person is able to eat a more normal diet and have more time for work and travel.
Peritoneal dialysis is not for everyone, however. A person must be able to see well and do each step correctly to prevent infection in the abdomen.
Your doctor will help you decide whether hemodialysis or peritoneal dialysis is right for you. Diabetes control remains important no matter which type of dialysis is chosen.
Kidney Transplantation
Diabetes sometimes damages kidneys so badly that they no longer work. When kidneys fail, the person needs a way to replace their function, which is to clean the blood. One option is kidney transplantation.
Currently, the survival of kidneys transplanted into patients with diabetes is about the same as survival of transplants in people without diabetes. Dialysis for people with diabetes also works well in the short run. Even so, people with diabetes who receive transplants or dialysis experience higher morbidity and mortality because of coexisting complications of the diabetes—such as damage to the heart, eyes, and nerves.
Good Care Makes a Difference
If you have diabetes:
• Have your doctor measure your A1C level at least twice a year. The test provides a weighted average of your blood glucose level for the previous 3 months. Aim to keep it at less than 7 percent.
• Work with your doctor regarding insulin injections, medicines, meal planning, physical activity, and blood glucose monitoring.
• Have your blood pressure checked several times a year. If blood pressure is high, follow your doctor’s plan for keeping it near normal levels. Aim to keep it at less than 130/80.
• Ask your doctor whether you might benefit from taking an ACE inhibitor or ARB.
• Have your urine checked yearly for microalbumin and protein.
• Have your blood checked for elevated amounts of waste products such as creatinine. The doctor should provide you with an estimate of your kidney’s filtration based on the blood creatinine level.
• Ask your doctor whether you should reduce the amount of protein in your diet. Ask for a referral to see a registered dietitian to help you with meal planning.
CME on Cadaver Organ Transplantation
Central India Kidney Foundation in association with Indian Society of Critical care Medicine , Nagpur had organized a Continuing Medical Education program on cadaver organ transplantation recently . Dr B.G.Waghmare , chairman . Zonal Transplant Co-ordination Centre , Nagpur was the chief guest and Dr Rajaram Powar , Dean , Government Medical College and Chairman of Authorisation committee for organ transplantation and Justice Shrisen Dongaonkar were the guests of honour. This program was attended by post graduate doctors , intensivists , physicians , neuro-surgeons , neuro-physicians and nephrologists .
In his address Justice ( retd) Shrisen Dongaonkar said that there are recognized 4 transplant centres in Vidarbha region conducting kidney transplant and none are in government set up . He stressed that this facility should be made available in Government Medical College.
Dr S.J.Acharya , transplant physician said that there are approximately 2 lac patients suffering from kidney failure out of which only 3500 -4000 patients undergo kidney transplantation . Cadaver organ transplantation will solve the problem of organ shortage .
Dr B.G.Waghmare , chairman . Zonal Transplant Co-ordination Centre , Nagpur , said that ZTCC has been set up and this will work towards solving this problem . Dr Mukund Baheti , eminent neurophysician , Dr Kamal Bhutada , intensivist , Dr Rajesh Soni , transplant surgeon , Mrs Manjiri Damle , transplant co-ordinator , Dr Prakash Khetan and Dr S.J.Acharya , nephrologists were the faculties for the CME . There was a panel discussion on organ transplantation in which Dr Sameer Chaubey , Dr Suhas Salpekar participated . Dr Nikhil Kibe was the moderator for the panel discussion .
Dr Mrs Gira Soni and Dr Mrs Sunita Lawange were the masters of ceremony . Dr Mrs Vandana Khushalani , president of CIKF , Dr Dongre , president ISCCM , Dr Kibe , hon. Secretary of CIKF and Dr Jeshwani , hon. secretary ISCCM , Dr Vijay Shrikhande , Dr Kolte , Dr Wagh , Dr Tomey , Dr V.L.Gupta , Dr Dinesh Kabra , Dr Atal , Dr Buche , Dr S.M.Patil were prominently present on the occasion .
Dr S.J.Acharya was the convener of this program .
Central India Kidney Foundation is non government charitable non-profit organization for helping patients suffering from kidney diseases , for creating awareness about kidney diseases in society and to help patients who have undergone kidney transplantation . Foundation has organized many seminars for doctors and public awareness programs in different parts of Central India . It has given scholarship to children of patients with kidney diseases , organized debates , drawing and painting competitions , elocution competitions , health camps etc from time to time .
In his address Justice ( retd) Shrisen Dongaonkar said that there are recognized 4 transplant centres in Vidarbha region conducting kidney transplant and none are in government set up . He stressed that this facility should be made available in Government Medical College.
Dr S.J.Acharya , transplant physician said that there are approximately 2 lac patients suffering from kidney failure out of which only 3500 -4000 patients undergo kidney transplantation . Cadaver organ transplantation will solve the problem of organ shortage .
Dr B.G.Waghmare , chairman . Zonal Transplant Co-ordination Centre , Nagpur , said that ZTCC has been set up and this will work towards solving this problem . Dr Mukund Baheti , eminent neurophysician , Dr Kamal Bhutada , intensivist , Dr Rajesh Soni , transplant surgeon , Mrs Manjiri Damle , transplant co-ordinator , Dr Prakash Khetan and Dr S.J.Acharya , nephrologists were the faculties for the CME . There was a panel discussion on organ transplantation in which Dr Sameer Chaubey , Dr Suhas Salpekar participated . Dr Nikhil Kibe was the moderator for the panel discussion .
Dr Mrs Gira Soni and Dr Mrs Sunita Lawange were the masters of ceremony . Dr Mrs Vandana Khushalani , president of CIKF , Dr Dongre , president ISCCM , Dr Kibe , hon. Secretary of CIKF and Dr Jeshwani , hon. secretary ISCCM , Dr Vijay Shrikhande , Dr Kolte , Dr Wagh , Dr Tomey , Dr V.L.Gupta , Dr Dinesh Kabra , Dr Atal , Dr Buche , Dr S.M.Patil were prominently present on the occasion .
Dr S.J.Acharya was the convener of this program .
Central India Kidney Foundation is non government charitable non-profit organization for helping patients suffering from kidney diseases , for creating awareness about kidney diseases in society and to help patients who have undergone kidney transplantation . Foundation has organized many seminars for doctors and public awareness programs in different parts of Central India . It has given scholarship to children of patients with kidney diseases , organized debates , drawing and painting competitions , elocution competitions , health camps etc from time to time .
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