Dockyard : Drink water, flush toxins

Diabetes can damage the kidneys and can result in progressive loss of its function. This becomes the leading cause of kidney failure globally.  However, one can slow down the progression of kidney damage by making certain modifications in their lifestyle, diet and being vigilant towards their health

When you have Diabetes, it’s pivotal to take care of your kidneys as they perform an important job of filtering waste and removing it from your blood, maintaining water balance, taking care of bone health, synthesis of vitamin D & erythropoietin a substance which maintains level of hemoglobin. But Diabetes can damage the kidneys and can result in progressive loss of its function. This becomes the leading cause of kidney failure globally. People with advance kidney failure need either dialysis or a kidney transplant. However, one can slow down the progression of kidney damage and keep it from getting worse by making certain modifications in their lifestyle, diet and being vigilant towards their health, besides seeking consultation from a Nephrologist.

Also, care during winters is especially essential for Diabetes patients. As the days shorten, we experience less of the sun, which can be a real mental challenge. The lack of sunlight means increased levels of stress and tiredness. Excess winters stresses and strains the body. This stress often releases hormones such as adrenalin and cortisol. These survival hormones cause the liver to release more glucose for energy, which can result in higher-than-normal blood sugar levels. Similarly, the cold weather can predispose to clotting as the blood become thicker in this season, coupled with diminished physical activity in winter months. Such conditionscan pose serious threats to the lives of Diabetic patients, who also tend to have increased blood pressure.

Besides the temperature and weather conditions, blood sugar depends upon hydration, exercise, and the food you eat, but hydration is probably the single most important element to help us stay healthy outdoors. People suffering from Diabetes are prone to dehydration, which can become dangerous if left unchecked because it can lead to Diabeticketoacidosis. At the same time, dehydration can cause confusion, which may make a person unaware of low blood sugar. Therefore it’s essential for Diabetes patients to remain well hydrated in winters and should test their blood sugar more frequently.

Taking care of kidneys

• Control your blood pressure. High BP is more likely to cause kidney damage. It becomes essential to keep a check on BP for cardiovascular and renal health. If BP increases, it canpotentially lead to kidney damage. Keeping recommended cholesterol levels is also essential for patients with Hypertension.
• Good diet. Avoid eating junk foods. They contain lot of salt as preservative. And salt intake is directly related to Hypertension.Your diet shouldn’t have too much sugar as it produces an excess of toxins in your body. A diet based on fruits, vegetables, cereals, grains, and a high amount of fiber is the best way to take care of these vital organs.
• Keep yourself well hydrated. Adequate hydration helps our kidneys dissolve and eliminate toxins and waste products from our body. Literally speaking our kidneys and other organs might dry out if we don’t drink enough water. This means that they'll re-absorb or will be able to filter less toxins which will then accumulate in the body. 
  
  The writer is Dr deepak dewan , MD, DM (Nephrology), Director Renal Sciences Regency Superspeciality Hospital