Posted: March 18th, 2023
Managed Diabetes Still Result in Kidney Failure?
Kidney failure is the final stage of chronic kidney disease, where the body loses its ability to rid itself of waste. When the kidneys fail, dangerous levels of toxins buildup in the body leading to death. Nearly 100,000 people are diagnosed in the United States every year with kidney failure (USRDS, 2007). According to the same data, diabetes accounts for a little under half of these new cases. Controlling diabetes is important and doctors are correct to express the importance of controlling diabetes to their patients. However, recent data suggests that even when diabetes is controlled, it can still lead to kidney failure. Nearly 24 million people in the United States have diabetes, and nearly 180,000 are living with kidney failure that is a direct result of diabetes (USRDS, 2007). This research will explore the connection between diabetes and kidney failure in connection with the importance of controlling diabetes.
Many people believe that if they have diabetes and they manage it well, then it guarantees that they will be able to avoid chronic kidney disease. However, this is not always the case, particularly when several risk factors are combined such as high blood pressure and diabetes. Genetics can also play a role and minorities such as African-Americans, American Indians, and Hispanics have higher kidney failure rates than Caucasians do (USRDS, 2007). This study is based on research that indicates that not only must diabetes be controlled to avoid kidney failure, it must be eliminated.
Significance of the Study
Most U.S. citizens with kidney disease are eligible for some type of federally funded care. It is estimated at patients with kidney failure cost the United States nearly $32 billion annually (USRDS, 2007). The financial impact of the disease is devastating, as is the impact on individual lives and added stress to an already strained Health Care System. Heredity plays a role in kidney disease, but there are many more cases in which heredity does not play a factor than there are where it does. Kidney disease can be avoided, or the risk reduced of developing it, by taking simple steps such as proper diet and exercise. It is been suggested that controlling other risk factors, such as high blood pressure, can also have an impact on reducing the risk of kidney failure in those with diabetes (USRDS, 2007). Reducing incidences of kidney failure will have a significant impact not only on the patients and their families, but it will also have a major impact on the economy of United States.
Purpose of the study
The purpose of this study is two-fold. The first is to gain information that is based on evidence regarding the relationship between controlled diabetes, uncontrolled diabetes, and the chances of developing kidney failure. The second purpose is to allow health care professionals to use this information in the development of protocols to help give patients advice that will result in a reduction of chances for developing kidney failure. This research will benefit both doctors and patients alike.
This research will focus on a single hypothesis. It will support the hypothesis that those with controlled diabetes are still at risk for the development of kidney failure. The null hypothesis home will state that control diabetes will significantly reduce the risk for the development of kidney failure.
In addition to the primary research hypothesis, the study will also attempt to answer several research questions that will provide greater insight into the issues surrounding the research hypothesis. The following research questions will also be addressed as a part of this research study.
1. How is diabetes related to kidney failure, regardless of whether it is controlled or uncontrolled?
2. Once a person has diabetes, is there anything they can do to reduce their risk of developing kidney failure?
3. Is the presence of high blood pressure more important in the development of kidney failure and diabetes?
4. Does controlling diabetes alone reduce the risk of the development of kidney failure?
These four central research questions will help in the development of a greater understanding of the connection between diabetes and kidney failure. They will aid physicians & medical professionals in advising their patients as to what they can do to reduce their chances of developing kidney failure.
Kidney disease is a progressive and fatal condition. The filtration system begins to fail slowly, resulting in a small amount of protein leaking into the urine. As the disease progresses, more protein begins a leak into the urine in the kidney’s filtering function begins to drop. As result the body retains high levels of waste. The disease rarely occurs in the first 10 years of diabetes and it is usually 15 to 25 years before kidney failure occurs (USRDS, 2007). The longer person has diabetes, the greater the risk of developing it.
Current wisdom holds that controlling diabetes can help reduce the risk of developing kidney failure. However, many people with well controlled diabetes still develop kidney disease and eventually kidney failure. High blood sugar levels cause damage to the kidneys. The longer a person goes without being diagnosed with diabetes, the more likely damages are to have already occurred. A 20-year study by de Boer, Rue, & Hall et al. (2011) found that the incidence rate of diabetes kidney disease increased from 1988 to 2008, despite increased use of glucose lowering medications and medications designed to lower factors involved with the development of kidney disease.(Koro, Lee, & Bowlin, 2009).
Newman, Mattock, & Dawnay et al. (2005) explored the effectiveness of early testing in the detection of diabetic complications. They explored factors other than microalbuminuria in the diagnosis of diabetic complications. They also examined whether improved glycemic or blood pressure control had a greater influence on the development of diabetic complications and those with detected microalbuminuria than in those with normal albuminuria. This study found that glycemic control had little benefit in the prevention of kidney disease in those that already had microalbuminuria. Those that had normal albuminuria appeared to benefit from glycemic control in the development of kidney disease. The study would suggest that once the disease has started, glycemic control does not play a role in the ongoing development of the disease. This study suggests that control prior to the development of the disease can have an impact on the prevention of developing the disease. Watanbe, Fujii, & Aoki, et al. (2009) found that obesity contributed to the development of kidney disease in patients with diabetes.
Information in the literature presents conflicting information on the connection between control diabetes and the development a kidney disease. Several other factors have been implicated in the development of kidney disease in patients with diabetes. High blood pressure and obesity may be contributing factors that place persons with diabetes at a greater risk of developing kidney disease. Studies also suggest that once kidney disease has started, controlling blood sugar levels will not reverse its effects or slow its progression. This study will help to resolve some of the issues found in previous research studies.
This study will use a comparative quantitative method using historical records of patients with both kidney disease and diabetes. Demographic information will be collected to rule out sample bias as a potential reason for the results found. The study will divide patients into those with a history of controlled diabetes, uncontrolled diabetes, and those with other complicating factors such as high blood pressure or obesity.
The groups in this study will be compared using descriptive statistical techniques. Correlational statistics will be performed both within and between the various patient groups. Crushed tabulation will be used to detect the presence of bias in the sample population and to determine the relationships that exist between the groups. The study will determine what factors have the greatest impact on reducing the chances for development of kidney disease among various study groups.
This study will examine the connection between diabetes and kidney disease in a detailed manner. The purpose of the study is to determine whether controlling diabetes has an effect on the development or progression of kidney disease. The literature suggested that once a person develops kidney disease that controlling diabetes has no affect. The presence of microalbuminuria will be used to classify those that already have early stages of the disease in to separate them from those that have not yet developed the disease. The study will play an important role and prevention of kidney disease as a complication of diabetes.
de Boer, I., Rue, T., & Hall, Y et. al. (2009). Temporal trends in the prevalence of diabetic kidney disease in the United States. JAMA. 305(24), 2532-9.
Koro, C., Lee, B., & Bowlin, S.(2009). Antidiabetic medication use and prevalence of chronic kidney disease among patients with type 2 diabetes mellitus in the United States. Clin Ther. (11):2608-17.
Newman, D., Mattock, M,., & Dawnay, A.,et al. (2005) Systematic review on urine albumin testing for early detection of diabetic complications. Health Technol Assess. 9(30):iii-vi, xiii-163.
United States Renal Data System. USRDS 2007 Annual Data Report. Bethesda, MD: National
Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health,
U.S. Department of Health and Human Services.
Watanabe, Y., Fujii, H., & Aoki K, et. al. (2009). A cross-sectional survey of chronic kidney disease and diabetic kidney disease in Japanese type 2 diabetic patients at four urban diabetes clinics. Intern Med. 2009;48(6):411-4.
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
There is a very low likelihood that you won’t like the paper.
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!
Place an order in 3 easy steps. Takes less than 5 mins.