Saturday, January 17, 2015

(Epidemiology) Prevalence of Diabetic Nephropathy!

Diabetes nephropathy (Diabetic kidney disease) is the leading cause of chronic kidney disease (CKD) and end stage renal disease (ESRD) as mention in the earlier post.  According to the Centers for Disease Control and Prevention and the National Diabetes Statistic reports that adults with diabetes are 2-3 times as likely to have CKD and make up 44% of new ESRD cases.  Furthermore, the American Diabetes Association states about 20-30% of the patients with type 1 or type 2 diabetes will develop nephropathy. However, with type 2 diabetes, these people are more susceptible to ESRD.  Therefore, people with diabetics must monitor their blood sugar before it damages the kidneys.  An early start to taking care of oneself will decrease your risk of complications in the future.
Diabetic nephropathy varies by racial/ethnic background. Native Americans, Hispanics (especially Mexican Americans), and African Americans are at higher risk of developing ESRD with type 2 diabetes compared those to non-Hispanic whites. You can see it here according to this data from CDC (click on the pdf link to see http://www.cdc.gov/nchs/data/hus/2011/051.pdf ). This shows how diabetes is the leading cause of kidney ESRD. Hypertension is the second diagnosis in relation to ESRD.



Below is a kidney disease mortality from the CDC and National Vital Statistics System . In Washington state alone (2012), there were 482 deaths who suffered from kidney disease. There were a total of 45,622 deaths in the USA. 


 I couldn't find a chart with the morbidity of kidney disease so below is a summary of morbidity and mortality from the CDC. Please click on this link (http://www.cdc.gov/nchs/fastats/kidney-disease.htm) to see more information. As summarized below, about 1.7 percent of adults are diagnosed with kidney disease, which is the frequency of the disease. However, mortality is the number of deaths caused of kidney disease, which is 9 total from 2011.



Prevention and detection are key to avoid any complication with the kidney for those with diabetes. 

Tune in to next week for etiology and pathophysiology of the disease! Stay happy and healthy!  




Citations: 
1. Diabetes Care. (n.d.). Retrieved January 18, 2015, from http://care.diabetesjournals.org/content/25/suppl_1/s85.full

2. Van Buren, P., & Toto, R. (n.d.). Hypertension In Diabetic Nephropathy: Epidemiology, Mechanisms, And Management. Advances in Chronic Kidney Disease, 28-41.

3. (n.d.). Retrieved January 18, 2015, from http://www.cdc.gov/nchs/data/hus/2011/051.pdf 

4. (n.d.). Retrieved January 18, 2015, from http://www.cdc.gov/nchs/data/series/sr_10/sr10_260.pdf

5. (n.d.). Retrieved January 18, 2015, from http://www.cdc.gov/nchs/data/hpdata2020/hp2020_D_CKD_progress_review_presentation.pdf  


6. Kidney Disease. (2014, July 14). Retrieved January 18, 2015, from http://www.cdc.gov/nchs/fastats/kidney-disease.htm







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