Friday, 11 April 2014

Diabetes - Depression - Kidney Disease

Are you a Diabetic? Are you depressed for any reason? 
Sorry, but now you are at higher risk of Kidney Disease too!
Yes, if a person with diabetes is depressed, his/her likelihood of developing chronic kidney disease gets to nearly double.
At Grass-Diabetes we had earlier discussed on how stress affects a diabetic. Sadly, the ill effect of stress doesn’t ends there; if you are getting depressed, you are inviting high risk kidney failure too.
Certainly not a good thing to know but you should really be aware of how your mind plays around with your body when you have certain dreaded diseases like diabetes.
The recent studies have established the fact that this lingering kidney disease in its advanced loss of kidney function can lead to kidney failure over months or years. According to the U.S. National Institute of Diabetes, Digestive and Kidney Diseases, diabetes is the most common cause of kidney failure.
The study authored by Dr. Margaret Yu, a nephrology fellow at the University of Washington in Seattle while working with diabetic patients with chronic kidney disease, found that many of its common patients suffered from depression. She wondered whether the kidney problems were causing depression, or if depression somehow contributed to kidney disease. The study published in the Clinical Journal of the American Society of Nephrology, researchers looked at almost 4,000 adults with diabetes who were patients in a large health maintenance organization. They used data collected to identify how carefully the patients managed their diabetes, such as diet, exercise and blood sugar monitoring. Researchers also looked at laboratory tests of kidney function, and at patients' responses to a questionnaire used to determine whether they were depressed. Other factors considered included participants' years with diabetes, ethnicity, age, marital status, education, smoking, body-mass index (a measure of body fat) and high blood pressure.
Study participants with the greatest number of signs and symptoms of depression described as "major depression" had an 85 percent higher risk of developing kidney failure. Since many of the symptoms of depression such as low energy, reduced appetite, difficulty sleeping and lack of interest in activities are similar to the signs of advanced kidney disease the connection between depression and kidney disease was most notable among the patients with major depression.
It makes us all wondering, that what could be the relation between depression and kidney disease? But, unfortunately the mechanism wasn’t established at the moment by the researchers.
The increased risk of kidney failure in a diabetic could be not only physiological but may be psychological also. Since a diabetic needs to actively maintain his/her life including a lot of active commitment and motivation in watching the food you eat, how active you are and the level of exercises you are involved in, checking blood sugar level, regular medical checkups etc. but when you are depressed, you perhaps are incline to not taking such proactive measures in dealing your diabetes. Although researchers have noted that the level of self-care was only addressed at the beginning of the study. The more depressed you are, the less you may do, and more complications may arise.” It’s like, “The more bad news you get, and you may develop a sense of helplessness."
An increased need of awareness among health care providers, diabetic patients and their families about the magnitude of this depression-diabetes-kidney problem is definitely required.
We at Grass-Diabetes believe that the awareness isn’t required only after you get diabetic but it’s more important that the right knowledge should enable you to fight or push back the disease even before it affects you.

How a report in GRASS-Diabetes help’s you in combating Diabetes?
Here is what a Grass-Report consists of:
 Get Grass Report for yourself

  1. Genetic Risk Assessment: Your GRASS report carries the percentage of Genetic Risk that indicates the age at which Diabetes may occur
  2. Susceptibility: It is the tendency to develop the disease. This tendency depends upon various factors including your age, family history of Diabetes, the excess birth weight. Your ethnicity, a sedentary lifestyle, stress and rich diet also results in increasing the tendency.
  3. DEED: Diet- Exercise- Education- Drugs. GRASS gives you the "Suggestions for Prevention" which carries a customized dietary chart and an exercise reference personal to your report. Getting educated on the Diabetes is helpful as much as the drugs which shall be advised by your physician.

Singhal Diabetic Clinic - A trusted name in diabetic prevention which is serving for over two decades
As the old saying goes, prevention is better than cure, your knowledge towards your own body and the lifestyle you chose determines your future. Get your personalized report on the risk of diabetes. If you have any queries, we will be pleased to assist you.

Dr. M Singhal 
Phone: +91-1334-224625 | Mobile: +91-9837178358

SOURCES: Margaret Yu, M.D., M.S., nephrology fellow, University of Washington, Seattle, and V.A. Puget Sound, Washington; Martin Zand, M.D., Ph.D., professor of medicine and medical humanities, and medical director, kidney and pancreas transplant programs, University of Rochester Medical Center, Rochester, N.Y.; March 27, 2014, Clinical Journal of the American Society of Nephrology

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