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 69
- Downloads 0
Adaptation of a neurobehavioral test battery for Thai children
Exposure to neurotoxicants is a world wide problem with significant health implications for child development. In spite of higher neurotoxicant exposures, many developing countries do not have established neuropsychologi...
Probiotic strains as the element of nutritional profile in physical activity – new trend or better sports results?
A diet, individually customized to the needs of sportsmen and sportswomen prepares them better for competition and achievement of better sports results. However, disorders of the gastrointestinal tract and frequently rec...
Hypomethylation of the c-myc promoter region induced by phenobarbital in rat liver
Background. The changes in DNA methylation are considered as one of the early events in hepatocarcinogenesis. Objective. We evaluated the ability of phenobarbital (PB) – the most widely used anticonvulsant worldwide and...
Nutrition knowledge of people with eating disorders.
Background. Eating disorders are an increasingly common health problem that is a major therapeutic challenge. For many years, the basic form of therapy used to be psychiatric and psychotherapeutic treatment, but now it i...
Perception of dental practitioners regarding the use of antioxidants in oral health
Background. Free radicals play a key role in the development of several pathological conditions. Therefore, antioxidants (AOs) are the first line of defense against free radical damage and are critical for maintaining op...