Poor diabetes control, increased risk of kidney complications

MINH CHÂU - DƯƠNG ANH |

Maintaining a healthy lifestyle, eating reasonably and having regular health check-ups are important factors to help protect kidney function and prevent complications.

Patient N.T. Q (Hanoi, born in 1998) was diagnosed with type 1 diabetes in 2017. However, due to subjective psychology when young, the patient did not adhere to treatment for a long time.

The patient said that at the end of 2025, he felt his body swollen for about a week and thought he was gaining weight. However, when he felt his legs heavy and had difficulty walking, he went for an examination and was diagnosed with kidney failure. Before that, the patient often stayed up late until 2-3 am, ate according to his preferences, and ate many fried and salty foods.

Through examination, doctors determined that the patient had end-stage chronic kidney disease on the background of diabetes. Currently, the patient has to undergo periodic hemodialysis.

From a young person with a stable job and self-reliance in life, now all activities of the patient are disrupted. Complications of diabetes cause the patient's vision to be impaired, along with a dense schedule of dialysis, forcing the patient to stop working to focus on treatment and maintain life.

Biến chứng của đái tháo đường khiến thị lực của bệnh nhân bị suy giảm, cùng nhiều ảnh hưởng tới cuộc sống. Ảnh: Dương Anh
Complications of diabetes cause the patient's vision to be impaired, along with many impacts on life. Photo: Duong Anh
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The number of dialysis cases in young people tends to increase in recent years. Photo: Duong Anh

According to Dr. Nguyen Van Tuyen - Head of the Department of Nephrology - Urology, Duc Giang General Hospital, kidney complications are one of the common risks in people with diabetes if not well controlled.

Kidney complications are a risk in most diabetic patients, especially in those with poor blood sugar control, quitting treatment or not following a diet. Currently, at the Department of Nephrology - Urology, Duc Giang General Hospital, the rate of diabetic patients with kidney disease complications accounts for about 25 - 30%," the doctor said.

Recorded at the Department of Nephrology - Urology, Duc Giang General Hospital, in recent years, the number of cases requiring dialysis in young people has tended to increase. In 2025 alone, there are about 10-15 cases in the age group of 30 - 40 who need periodic dialysis.

According to doctors, in addition to medical causes, unscientific lifestyles such as eating a lot of processed foods, substance abuse, staying up late, disrupted lifestyle and subjectively not having regular health check-ups are factors contributing to kidney disease becoming increasingly younger.

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When diagnosed with kidney disease, patients need to follow the doctor's instructions for examination and treatment, and take medication regularly. Photo: Duong Anh

Not only causing physical decline, dialysis also increases the risk of cardiovascular diseases, affecting the digestive system. In addition, the economic burden is also very large when patients are unable to work and have to depend on treatment machines.

Doctors recommend that when diagnosed with kidney disease, patients need to follow the doctor's instructions for examination and treatment, and take medication regularly. For chronic kidney disease, it is necessary to adjust the diet to reduce protein and salt, and at the same time maintain exercise suitable for physical condition and age.

Maintaining a healthy lifestyle, eating scientifically and having regular health check-ups is an important "shield" to help protect kidney function and avoid serious consequences later.

MINH CHÂU - DƯƠNG ANH
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