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The risk of kidney failure in diabetes is five times higher for those who have not completed high school. Even parental studies and family finances are important for the risk of kidney failure, reveals a thesis at the University of Umeå.
"It is possible that people with higher education and a better economy lead a healthier life with better nutrition and more outdoor living, so that they take better care of their diabetes than vulnerable people on the socio-economic plan For Cecilia Toppe, the challenge of care is to ensure that everyone has the same support and support to manage their diabetes, regardless of their origin.
Cecilia Toppe has used a number of national registries, such as the Swedish Diabetes Registry, the National Diabetes Registry and the Kidney Registry, to identify type 1 diabetic patients with kidney failure requiring dialysis.
"We are seeing a positive evolution in health and survival for diabetics suffering from kidney failure, but we need to put more emphasis on socio-economic factors such as the economy and the elderly." So that everyone can benefit from this improvement, "says Cecilia Toppe, PhD student in the Department of Clinical Sciences. at the University of Umeå.
Among type 1 diabetics, such as children or adolescents, more than one in twenty, about five percent, suffered from kidney failure requiring dialysis. Over time, fewer patients today are developing kidney failure and they are at least three years older when they start dialysis than in the 90s. Those who suffer from kidney failure today They also survive longer than those who had it in the 1990s or early 2000s. The best survival rate was observed in patients receiving a new kidney graft, who received more than half of the patients with renal failure requiring dialysis during the study.
The most important socioeconomic risk factor for the development of kidney failure was the level of education of the patient. If you had not gone to high school, there was a risk of kidney failure more than five times as if you had finished high school. When the risks were examined at the parental level, it was possible to observe that both parents, but especially the mother, had a high level of education. There could also be some increased risk of kidney failure if a family member had at one point received social support.
The kidneys clean the blood of the substances and eliminate the water that the body does not need. In case of kidney failure, the kidneys do not reach more and harmful substances and water remain in the body. Renal failure can be acute or chronic. In case of chronic renal failure, the function of the kidneys slowly deteriorates for several years. Acute renal failure develops more rapidly, in a few days or weeks. The most common form is chronic renal failure.
The thesis:
End-stage renal disease in type 1 diabetes: temporal trends and risk factors
contact:
Cecilia Toppe, [email protected]
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