Diabetic nephropathy in the elderly – clinical practice
Journal Title: Roczniki Państwowego Zakładu Higieny - Year 2018, Vol 69, Issue 4
Abstract
Common health problems of the elderly in the near future will become even more common with aging of the population and longer average life expectancy. The elderly tend to have multiple disorders at one time, some of which may aggravate the course of others. One of the most common diseases, diabetes – “the epidemics of XXI century”, treatment of which costs approximately 11% of world health care budget – is the leading reason of chronic kidney disease and end-stage renal disease. Diabetic nephropathy can be a complication of both diabetes mellitus type 1 and 2. The most numerous group of patients with recently-made diagnosis are these above 60 years of age. Albuminuria, which, depending on its intensity, is one of the diagnostic criteria, can appear even in the process of aging itself. Overlapping of structural and functional changes that develop with age and those caused by diabetes is therefore a challenge, both diagnostic and clinical. There are certain methods of early diagnosis and prevention of progression of diabetic kidney disease. There is, however, no targeted treatment and existing therapies are generally based on glycemia and blood pressure control. Some patients in the advanced stage undergo dialyses just like in other kidney failure cases. The course of the disease is influenced by modifiable factors, such as protein and salt intake or cigarette smoking. In the light of the fact that this problem will concern an increasing number of patients, diagnostics and treatment can and should be introduced in the early stages of the disease. This all fits within the recently popular “healthy aging” ideology. Its popularization and implementation can bring measurable benefits of social and economic character.
Authors and Affiliations
Klaudia Nadolnik, Damian Skrypnik, Katarzyna Skrypnik, Paweł Bogdański
Keywords
Related Articles
- EP ID EP491613
- DOI 10.32394/rpzh.2018.0037
- Views 76
- Downloads 0
Effect of caloric restriction on liver function in young and old ApoE/LDLr-/- mice
Background. Caloric restriction (CR) leads to decrease metabolic intensity, which results in a reduction of oxygen consumption and the amount of free radicals. This can affect the function of the liver. Studies show that...
Analysis of the choice of food products and the energy value of diets of female middle- and long-distance runners depending on the self-assessment of their nutritional habits
Background. Properly balanced diet is especially important in the case of young athletes, as it influences not only their physical development, but also influences results obtained during trainings and competitions. Obje...
Effect of probiotic and storage time of thiamine and riboflavin content in the milk drinks fermented by Lactobacillus casei KNE-1
Background. Fermented milk drinks are unique products due to content of Lactobacillus and Bifidobacterium that are recognized as probiotics. They are a natural component of the colon microbiota as well as commonly used p...
Endocrine disruptors in food contact materials; is there a health threat?
Food Contact Materials (FCMs) are a major source of endocrine disrupting chemical substances (EDCs), thus forming an important part of human exposure to these compounds, to which this article is addressed. The potential...
The effect of girls attitudes towards the health benefits of food on selected dietary characteristics. The GEBahealth Project
Background. Dietary habits are formed at an early age and to a large extent they affect such nutritional behaviour in adulthood. Mothers in particular, influence family nutrition. In this respect, their knowledge, attitu...