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Your search term(s) "kidney failure" and "diabetes" returned 2 results.
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Diabetic Kidney Disease in Transitional and Disadvantaged Populations. IN: Cortes, P. and Mogensen, C.E., eds. Diabetic Kidney. Totowa, NJ: Humana Press. 2006. pp. 375-400.
This chapter on diabetic kidney disease in transitional and disadvantaged populations is from a clinical textbook on the diabetic kidney. After a brief introduction that includes an epidemiological overview, the authors discuss socioeconomic factors, barriers to care, rate of progression, comorbidities, prevention of diabetic nephropathy in these populations, treatment of end stage renal disease (ESRD), and renoprotective and financial considerations, environmental factors—intrauterine exposures, infections, environmental toxins, exposure to tobacco. Specific populations discussed include Asians, Indo-Asians, Pacific Islanders, Indigenous Australians and New Zealanders, African Americans and Afro-Caribbeans, Hispanic/Latino Americans, and Native Americans. The authors conclude that diabetic kidney failure is a common and growing problem in many transitional and disadvantaged populations throughout the world. Poverty and, paradoxically, the rapid emergence from poverty are, in part, responsible for the growing epidemic. These factors increase the risk of diabetes, calling for efforts focused on reducing the number of people who reach kidney failure through diabetes prevention and early screening and intervention in those who already have diabetes. The chapter begins with an outline of the topics covered and ends with an extensive list of references. 9 figures. 159 references.
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Diabetes and Dialysis. In Control. 1(2): 1. June 3, 2004.
This brief newsletter article serves as an introduction to a special issue on diabetes and dialysis. The author focuses on a concept called illness intrusiveness, which is defined as the extent to which lifestyle adjustments for chronic disease disrupt valued activities and interests. Many factors contribute to illness intrusiveness, including treatment time, difficulties in performing daily activities, fatigue, and other symptoms. Patients' perception of the intrusiveness of diabetes is often high; add to that the factors surrounding dialysis treatment and there are significant disruptions to normal life. The author cautions that intrusive illnesses like kidney failure and diabetes often cause depression. Depression can, in turn, limit the patient's ability to respond to education and to follow treatment guidelines; a vicious cycle can result. Readers are encouraged to be an active member of their own patient care team, particularly in efforts to integrate diabetes and kidney disease care.
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