2015年5月30日星期六

Reason for Ankle Swelling in Diabetic Kidney Disease

Swelling of the ankles is a common problem. Determining the cause of ankle swelling is the first step to find effective treatment. Once the cause of the ankle swelling is determined, effective treatment can be initiated. Why do people with Diabetic Kidney Disease suffer from this symptom?

Diabetic Nephropathy is a chronic kidney disease that occurs due to uncontrolled Diabetes, usually happens over several years or during its late staged. With continuous high blood glucose levels, the kidneys are gradually damaged.

Kidney damage occurs in the nephrons, which are the subunits of the kidneys. The nephrons consist of a capillary network known as glomeruli. Glomeruli function to cleanse the blood through filtering waste products from the bloodstream, control blood pressure, regulate electrolytes, stimulate the production of red blood cells, and produce urine.

As the Diabetic Kidney Disease progresses, ankle swelling may occur as the result of the kidneys not being able to control the water, sodium and other electrolyte balances.

Individuals who experience this symptom may notice that the ankles appear puffy or larger than usual. This means that they are swollen. When pressing the affected area with a finger and a dent appears, the person has pitting edema. The dent will fill in slowly once removing the finger from the skin.

How to deal with ankle swelling in Diabetic Kidney Disease?

▪ Diuretics, or water pills may be prescribed if a person is unable to control the symptom with self-care measures;

▪ Elevating the legs above the heart while lying down or sitting;

▪ Wearing support stockings, and exercising the legs;


▪ Reducing the sodium consumption and avoid high-sodium foods such as canned soups, canned vegetables, frozen dinners, fast foods, and luncheon meats. Use sodium-free herbs and seasonings to replace table salt.

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