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Do you have Diabetes and chronic kidney disease?

There are several nonmodifiable  risk factors  

1. Genetics - being African American, Hispanic, native American

2.  Sex- although more women have kidney disease , men progress more to end stage renal disease needing dialysis

3. Age - older people have a higher prevalence of kidney disease

4. Age  at onset, and duration of diabetes - The longer the duration of diabetes and earlier the onset of DM , the higher the risk for diabetic kidney disease (DKD)

5. Family history- having a parent or sibling with kidney disease also puts you at higher risk 

However , there are also several modifiable risk factors that have a strong effect on the risk of DKD.

1. Glycemic control - keeping diabetes under control. Know and monitor your hemoglobin A1C

2. Blood Pressure control- follow a low salt diet and take BP meds to help control BP. Know if ACEI or ARB class of medications are suitable for you as they prevent progressive kidney disease .

3. Cholesterol- follow a healthy low fat diet and check your lipid panel. Take statin class of medication to help with it.

4. Smoking - quit smoking.

Other recently discovered modifiable risk factors include

1. Chronic low-grade inflammation -  Get foot check done to see if you have nonhealing wounds. Neuropathy ( numbness , tingling, pins and needles in feet ) puts you at higher risk for nonhealing foot wounds.

2. Lack of physical activity

Efficient management of these modifiable risk factors  improves the prognosis of diabetic patients at risk of DKD.

At Kingwood kidney associates , We can educate you and manage the kidney disease to have the best outcomes  . Call 281-401-9540 to schedule your appointment.

You can also schedule your appointment online using the booking tool on this page. Book your examination today, to help with your kidney disease . 

Dr. Sowmya Puthalapattu Sowmya Puthalapattu, MD, or Dr. Sowmya as she’s known to patients, is an experienced board-certified nephrologist and internal medicine physician at Kingwood Kidney Associates, with offices in Kingwood and The Woodlands, Texas. Dedicated to providing her patients with comprehensive individualized care, Dr. Puthalapattu believes in the importance of active listening and having an open and creative clinical mind to provide the right care to meet her patients’ needs. She is faculty and Subspeciality education coordinator for Nephrology at IM GME program HCA Kingwood . Her areas of specialty include chronic kidney disease, end-stage renal disease, hyponatremia, and high blood pressure. A resident of The Woodlands, Texas, Dr. Puthalapattu spends her free time with her husband and two children. Her favorite activities include hiking and traveling.

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