Jaipur, 13 March, 2019.

Doctors at Fortis Escorts Hospital, Jaipur cautioned that more than a third of Rajasthan’s population are prone to Chronic Kidney Disease (CKD) due to rise in sedentary lifestyle. The incident of hypertensive & diabetic conditions is on the rise in the state. According to the National Health Family Survey (NFHS 4) data, 12.8 per cent people in Rajasthan are suffering from high blood sugar while 19.3 per cent suffer from hypertension. Together, both makes a whopping 32% population vulnerable to CKD. This startling revelation was made by Dr Rajesh Kumar Garsa.

“Incidences of hypertension and high blood sugar have increased by in past 5 years, mainly due to lack of physical activity and more than required intake of refine sugar in form of packed food and beverages. In fact, hypertension is the second leading cause of kidney failure, whereas taking unnecessary painkillers is also the reason of Kidney damage. Those who have a family history of diabetes or hypertension should be particularly careful and follow a strict monitoring regime after the age of 40 years. This year, the theme of World Kidney Day is ‘Kidney Health for Everyone Everywhere’, sets out to raise awareness of the high and increasing kidney diseases and to increase the transplant donation.”  says Dr Rajesh Kumar Garsa, Consultant Nephrology, Fortis Escorts Hospital, Jaipur.

In people with diabetes, the blood vessels in the body are injured due to high sugar content in the blood which hampers the purifying blood, the key function of the kidney. Hence, the body retains more water & salt than it should, which results in gaining weight, swelling of ankle and traces of protein in urine. Diabetes also damagesthe nerves which may make emptying the bladder difficult. The resultant pressure can back up & injure the kidneys. According to estimates, nearly 30 percent of patients with Type 1 diabetes &40 to 50 per cent people with Type 2 diabetes are eventually likely to suffer from kidney failure.

Hypertension, on the other hand, damages blood vessels and makes the walls of the arteries thicker or narrower. This disrupts the supply of nutrients and oxygen to the nephrons that filter the blood – each nephron receives its blood supply through tiny hair-like capillaries, the smallest of all blood vessels. Prolonged and uncontrolled high blood pressure can cause arteries around the kidneys to narrow, weaken or harden and hinder the organ from producing aldosterone, a hormone produced by healthy kidney to help the body regulate blood pressure.

Advising on regular check-ups, Dr Garsa, further added, “Watch out for signs like swelling of body, frequent night-time use of bathroom, weakness, decreased appetite, nausea or vomiting, itching, repeated infections, and fluctuating blood pressure – these are some of the early warning signs of kidney damage. A person with diabetes or hypertension should have blood, urine and blood pressure checked at least once a year. Home monitoring of blood glucose levels, maintaining an awareness of controlling blood pressure and monitoring your pressure at home, and following diet suitable to these conditions can play an important role.”