Dr. Robey on the Contributing Factors To Kidney Disease

Dr. Robey on the Contributing Factors To Kidney Disease


So when we think about the impact that kidney disease is making nationally, internationally, it’s really focused on
the contributors to kidney disease. Certainly again there’s genetic reasons,
there’s inherent reasons why the kidneys don’t work. But when we look at the
bigger impact that we can make, we have to look at the other disease processes.
So when we talk about one in nine, we’re including all those other things that
add to kidney disease. And since kidney disease, and heart
disease, and diabetes almost create what’s called a triple threat, we’re really talking about identifying those disease states too and those problems and patients too. Now, in the long run, when you think about ‘what could change the
trajectory of kidney disease?’ It’s really ‘what could change the trajectory of obesity diabetes high blood pressure of smoking. These things can add to the
impact of kidney disease and kidney awareness. We are talking about a global understanding a global self-awareness of the human
body, of what it goes through in any given day and what the kidneys must respond to on any given day. It’s in the background. It’s waiting for what you eat, what you drink, what medicines you take what medicines, what medicines you don’t take. It’s waiting for that blood pressure as it enters the kidney and gets filtered
and impacts it. It’s entering the bloodstream blood sugar. These things are going to affect the kidney’s function and filtration. Patients ask all the time
and rightfully so: why? Why is high blood pressure something that’s gonna hurt my
kidneys? Think about it. Very simply, high-pressure going through a system of
filtration eventually is going to wear out those filters. It’s gonna scar them, and
then now it can’t perform its job. Why? Why does high blood sugar cause damage to my kidneys? Your kidneys are a huge bag of blood vessels. Those blood vessels are
on constant exposure to the contents of your blood. And if the contents of
your blood contain high sugar, eventually those blood vessels are going
to be damaged and scar and diabetes is a systemic problem. It’s going to affect
blood everywhere. This is why people end up having eye problems, and nerve damage, and heart disease, and strokes, and
amputations. But in your kidneys, those blood vessels are affected too so now you’ve got decreased filtration. So as we move forward and think ‘Okay, we’ve got more
people. We’ve got people living longer. We’ve got people heavier. We’ve
got people older,’ then all the sudden you’re gonna have more. More diabetes. More high blood pressure. More obesity. More kidney disease. So back it on up. Live healthier to begin
with and we’ll actually improve the outcome
for kidney disease tremendously. You won’t have the backlash. There’s no outcome to the kidney because well you didn’t have obesity. You didn’t have diabetes. You didn’t
have high blood pressure and if you did, you controlled it. And if you controlled it
and eventually it still just affected the kidney, you had potentially new technologies and new plans for how to manage that.

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