Diabetes, heart disease and kidney disease, which come first?

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Diabetes is the highest risk factor that contributes to Covid-19 fatality. Brought to you by Malaysian Diabetes Educators Society - MDES

According to Pantai Hospital KL consultant physician and endocrinologist and diabetes specialist Dr Shalini C. Sree Dharan, patients with diabetes mellitus suffer increased severity of the effects of Covid-19.

“They are prone to inflammation as their high glucose level predisposes them to infections. This is worsened due to their weakened immune system.Even without Covid-19, people with diabetes are susceptible to health complications, she added.> 44% of new kidney failure cases are observed in diabetics.> 29% of diabetics aged over 40 years have diabetic retinopathy.

Citing the National Cardiovascular Disease Database, Dr Lee said about 50% of patients admitted to hospital for heart attacks had diabetes, while the Malaysian National Heart Failure registry indicated that 59% of patients admitted for heart failure had diabetes. “The bigger problem is that people with diabetes are also more likely to have other conditions that raise the risk of heart disease.We are in the world’s top five for diabetes as the cause of kidney failure, says Dr Yew.

“Unless patients go for a blood or urine test, they probably don’t know that their kidneys are damaged,” he said, adding that most times the signs and symptoms would only show when up to 90% of the kidney is damaged. “Diabetes can cause heart problems which can cause death. In the case of kidney failure, you don’t die as fast but you need dialysis for many years,” he warned.

 

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