Stomach bypass surgery, originally developed for weight loss in highly obese individuals, is now used for Type 2 diabetes control as well. Scientists at Heidelberg University in Heidelberg, Germany, found the procedure is also suitable for helping diabetic kidney disease.

The journal Deutsches Ă„rzteblatt International reported in December 2016 on twenty people taking insulin for Type 2 diabetes and who saw improvement in their kidney function after the roux-en-y gastric bypass (RYGB). These Type 2 diabetics were moderately overweight or obese, with a body mass index ranging between 25 and 35. One year later and again at two years later, blood and urine testing showed their kidneys were working more efficiently and clearing more waste from their bloodstream. The researchers concluded the RYGB stomach bypass surgery could be a treatment option for overweight or moderately obese Type 2 diabetics with diabetic nephropathy.

Signs and symptoms of diabetic nephropathy include…

a protein, albumin, found in the urine,
high levels of blood urea nitrogen,
elevated levels of creatinine in the blood,
high blood pressure readings,
leg swelling and cramps,
urinating frequently at night,
a lower need for antidiabetic medications,
nausea and vomiting in the morning,
weakness, pale skin, low red blood cell count (anemia), and
unusual itching.
Controlling blood sugar levels helps prevent kidney disease and many other complications. Maintaining a healthy weight, eating a proper diet, getting enough physical activity, and taking medications on schedule, all contribute to the prevention of complications.
When diabetic kidney disease does strike, treatment begins with medications called angiotensin-converting enzyme (ACE) inhibitors. When angiotensin II enters the bloodstream your blood vessels become narrower. ACE inhibitors allow the blood vessels to relax and lower blood pressure, putting less stress on the kidneys. The medications are also used to reduce the risk of heart disease and strokes. Some ACE inhibitors include…

Lotensin (benazepril),
Capoten (captopril),
Vasotec, Epaned (enalapril),
Monopril (fosinopril),
Prinivil, Zestril (lisinopril),
Univasc (moexipril),
Aceon (perindopril),
Accupril (quinapril),
Altace (ramipril),
Mavik (trandolapril).
When ACE inhibitors fail, dialysis or kidney transplantation are the next options…
1. Hemodialysis consists of using tubes to run the blood through a dialysis machine that contains an artificial kidney. Peritoneal dialysis filters the blood from inside the body. Both types of dialysis remove waste, salt, potassium, and water as needed.

2. A kidney may be transplanted from a donor if the donor and Type 2 diabetic have compatible blood and molecules known as HLA antigens. This compatibility helps keep the recipient’s body from rejecting the new kidney. Medications to suppress the recipient’s immune system also contribute to preventing rejection.


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