Kidney Disease is a common complication of long standing diabetes. After years, the kidneys can suffer changes in the blood vessels that are part of the system that filters waste and excess fluids from the body.
Focusing on Prevention: Early detection of kidney problems and appropriate treatment increase the likelihood of keeping your kidneys healthy. Meeting goals for blood glucose and blood pressure control can prevent, or at least slow, the development and progression of kidney disease.
The key to early detection is the identification of a protein in the urine called albumin. Later in the disease process, a substance in your blood called creatinine may be elevated and indicate declining function.
Without treatment, the disease progresses through stages, ending in kidney failure. Once the kidneys have reached “end-stage kidney disease”, dialysis (a method of removing wastes from the blood) or a kidney transplant must be performed.
The Center for Kidney Health has set prevention, slowing and reversal of chronic kidney disease as its primary goal.
The Center provides consultative care to patients at the WDI.
High Blood Pressure: Uncontrolled high blood pressure (hypertension) increases the risk of developing Diabetic Kidney Disease. Seventy percent of patients on dialysis have both diabetes and high blood pressure.
High blood pressure leads to damage of the kidney blood vessels increasing the risk of kidney failure.
Controlling blood pressure lowers the risk of diabetic kidney disease.
How can the Center for Kidney Health help you?
We implement the most up-to-date and individualized care plans available for the management of kidney disease. We will collaborate with the rest of the Diabetes team to coordinate your care. Here at the Center we will also work closely with your other physicians to ensure that you receive the safest and optimal care.
Our preventive prescription plan is as follows:
- blood glucose control (Hgb A1C less than 7%)
- blood pressure control (blood pressure less than 130/80)
- cholesterol control (LDL cholesterol less than 100)
- special blood pressure-lowering drugs, ACEinhibitors or angiotensin receptor blockers (ARBs) protect the kidney from damage
What can you do to protect your kidneys?
Know your numbers!
- By checking the “glomerular filtration rate” (GFR) of your kidneys, your doctor can tell how well your kidneys are filtering your blood
- Some Doctors may give you this number as a percentage of kidney function
- There are 5 stages to kidney disease, and they are based on your GFR
- Ask your doctor about your GFR
Know your ABCs!
A1c: Know your A1c level because glucose control is essential in the management of kidney disease
Blood Pressure: Know your blood pressure values. It is also important to track these values at home.
Cholesterol: Know your cholesterol level. Ask your provider if you require medication to get your lipids under control.
Get regular check-ups!
- Have your urine tested annually for the presence of protein or albumin.
- Have your creatinine tested to calculate your GFR.
- If the results of these tests are abnormal, have your doctor refer you to a kidney doctor for further treatment.
Regular exercise can have the following effects on patients with Kidney Disease:
- Better blood pressure control
- Better control of diabetes
- Improved heart function
- Improved muscle function
- Limit your salt intake
- Maintain a diabetic diet
- Some patients may need to limit their protein intake, too
- Some patients may need to limit their phosphorous or potassium intake
Know your medications!
- Take all of your medications as prescribed
- Keep an up-to-date list with you
- Know what all of your medications are for
- Inform your providers about any medications you have purchased over the counter
Educate yourself and others!
- Attend diabetes education classes
- Attend Kidney Smart classes (sign up today at KidneySmart.org/Class)
- Bring family members along to any of your education classes
The Center for Kidney Health provides expertise in a whole host of disease processes. Here are a few that we see commonly:
- Chronic Kidney Disease due to
- High Blood Pressure
- Rehabilitation after Acute Kidney Failure
- Kidney Inflammatory conditions
- Difficult to control High Blood Pressure
- Kidney Vascular Disease
- Protein and Blood in the urine
- Recurrent Kidney Stones
- Electrolyte and body chemistry imbalances
- Cystic Kidney Disease
Edward Barnes, MD
Dr. Barnes is a nephrologist in the WDI’s Center for Kidney Health and Medical Director for the DaVita Dialysis Center in south Pomona. He is an expert in performing and interpreting kidney ultrasounds and he strives to incorporate technology and innovation into his practice to provide the finest medical care for patients. Dr. Barnes enjoys working closely to engage his patients and to prevent the progression of their kidney disease. He is Associate Professor of Internal Medicine, Chief of the Division of Nephrology and Hypertension, and Assistant Dean of Longitudinal & Experiential Learning at WesternU/COMP. After earning his MD from University of Kansas School of Medicine, he completed internal medicine residency at Brooke Army Medical Center in San Antonio, Texas. He then served in the United States Army for a decade and is a Veteran of Operation Iraqi Freedom. During his Army service, he earned the Meritorious Service Medal for exemplary work as the Dialysis Director at Brooke.
Patients are seen by appointment only. If your insurance requires it, please make sure the appropriate referral form has been completed by your health care provider and bring this form with you. Click to make an appointment.
Please arrive 30 minutes early on the day of your appointment with your completed forms, your insurance card, photo ID, and any other information such as x-rays, lab work, etc., that might pertain to your visit. You will likely also be asked to provide a urine sample at your appointment, so please be prepared to do so when you arrive.
Thank you, and we look forward to working with you to maintain excellent Kidney Health.