Mumbai: With the increasing number of
cases of diabetes both in India and Asia, the prevalence and
incidence of Chronic Kidney Disease (CKD) are also on the
rise, according to experts.
"Number of diabetes cases has been rising and almost
30 to 40 per cent of all diabetics have been noticed to have
CKD," said Dr Vidya Acharya, a renowned Nephrologist.
"Diabetes is now a major cause of End Stage Kidney
Disease (ESKD) with failure throughout the world in both
developed and developing nations," Acharya, Chief Nephrologist
and Advisor, Gopikrishna Piramal Memorial Hospital said on the
eve of World Kidney Day.
"A strategy to detect kidney disease by screening all
high risk populations is an important step in prevention. The
National Kidney Foundation of India together with Narmada
Kidney Foundation and Mumbai Kidney foundation, are all
working towards achieving this goal of early detection and
prevention of further progression," the nephrologists of all
the foundations said.
India`s national CKD registry organised under the
auspices of Indian Society of Nephrology and housed in Kidney
Institute at Nadiad has given data from 45,885 subjects
admitted to 166 kidney centers in India upto January 2010.
"It is noted that CKD, secondary to diabetes, heads
the list at 31.2 per cent," Acharya, who is also a
co-ordinator for International Kidney Foundation, said.
Critical analysis of incidences reveals Southern
regions heading the list at 33.9 per cent followed by East
with 33.7 per cent, North (30.5 per cent) and West (27.8 per
cent, she said.
"We as a country simply cannot afford to treat all
cases of ESKD with failure which needs costly therapies, with
dialysis and transplantation, if all such subjects have to
receive optimal treatment," Member of Indian Kidney
Foundation, Acharya, said.
Moreover reduced Glomerular Filtration Rate (GFR), an
indicator of overall kidney function and presence of albumin
(albuminuria) in the urine caused by diabetic kidney disease
are important risk factor for cardiovascular and
These are the once that lead to Acute Heart Attacks,
strokes with consequent death, even before CKD patients
progress to ESKD, she explained.
An added problem to overcome is the remarkable lack of
awareness among patients about their condition of kidney
disease being largely asymptomatic in earlier stages.
To create awareness, Nephrologists here are holding
various awareness programme throughout India tomorrow on World
It is important for the medical profession to do joint
efforts to explain to the public treatment and objectives so
as to educate the masses about epidemic of CKD accruing in
near future, the experts said.
The main purpose is to underline the importance of
kidney disease arising from diabetic state and the lack of
awareness of kidney disease in both government and at public
"There is now, as never before a global threat of
diabetes mellitus. There is three-fold rise in type II
diabetes in India, Indonesia, China, Korea and Thailand, while
two-fold increase has been noticed in United States. Hence
making 21st century as the most "diabetogenic" environment in
human history," Acharya said.
In Asian countries, diabetes mellitus type II, is
witnessing an increase in epidemic proportion. This increase
is characterised by rapid rise over a short period of time.
In 2007, more than 110 million individuals in Asia
were living with diabetes, with disproportionate burden among
young age and the middle aged.
International Diabetes Federation (IDF) has predicted
that number of diabetic individuals in the world will increase
from a total of 240 millions seen in 2007 to 380 millions in
2025. More than 60 per cent of total diabetics will come from
The IDF estimates 40.9 millions diabetics in 2010 and
this is set to rise to 69.9 million by the year 2025. It has
further predicted that by 2025 China and India will have about
130 million inhabitants with diabetes.
According to the Indian Council of Medical Research
(ICMR), this itself would be reducing productivity and
hindering economic growth.