Chronic renal disease implicate a great costs: echonomic, social and human. The early detectión and modification in risk factors could decrease this costs. Works for it
Dear Mario,
As always, I look forward to being educated by your
posts to the forums on World Kidney Day. Your schematic, elucidating both etiology and outcomes of the omnipresent (and seemingly inevitable result, either of untreated or mistreated diabetes mellitus) metabolic syndrome, (the third of your iceberg schematics that I have seen (and have learned so much from) is absolutely magnificent!
I very much look forward to hearing from you as to how I might be of help to you in your endeavors to make known to the workf the ravages of these killers.
World Kidney Day should make us aware of the fact that the kidneys have a prominent role not only in maintening physiological conditions for living, but also responding to metabolic insult, a response that could be maladdaptative adding further damage to the organism. The kidneys add hypertension, heart disease, bone disease etc to diabetes, metabolic syndrome, CKD, etc.
To what degree, if any, are patients -- particularly minorities -- assayed for chronic stress? Inasmuch as kidneys are not deemed "essential" to the body's "flight or fight response", the diminished blood flow they receive -- undermining, sometimes considerably, GFR -- may lead to permanent damage.
I could not agree more. The significance of decreased kidney function and proteinuria are now significant markers of significant cardiorenal risk. We are just looking at the tip of the iceberg. We need more sensitive markers of GFR than creatinine.
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