The ankle to brachial index is used to diagnose peripheral artery disease, an important warning sign to get busy preventing heart attacks and strokes. Blood pressure is measured in the ankle and arm and the former is divided by the latter. A normal value is 1.0 to 1.4. A number above or below normal indicates peripheral artery disease. Many times the index is repeated after exercise. If the blood pressure reading goes down after exercise, this also indicates peripheral artery disease. According to an article published in October 2014 in PLoS One, the ankle to brachial index could also serve as a valuable tool in detecting diabetic kidney disease in its early stages.
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At present there are several tests for diagnosing chronic kidney disease. One way is to measure protein in the urine. Diseased kidneys spill albumin from the blood into the kidneys – rather than retaining it in the blood. The glomerular filtration rate is a measure of how efficiently the kidneys are cleaning the blood…
- blood levels of creatinine are measured to determine how well the kidneys are removing creatinine from the blood.
- blood urea nitrogen is another test to see how well the kidneys are cleaning the blood.
- various imaging tests of the kidneys are also used.
Researchers at Zheijang University in Hangzhou, and other universities in China, enrolled 448 Type 2 diabetic patients with normal, negative tests for albumin in their urine. They were divided into two groups according to their glomerular filtration rates. It was found the participants with only slightly low glomerular filtration rates and abnormal ankle to brachial indexes had a high rate of early chronic kidney disease diagnosed by other methods.
From these results researchers concluded anyone who registered abnormal ankle to brachial indexes and only slightly slow filtration rates, should be further tested for chronic kidney disease.
Early signs and symptoms of chronic kidney disease include…
- high blood pressure,
- itchy skin,
- nausea, and
- unexplained weight loss.
It is treated with medication, diet, and exercise. ACE inhibitors, a type of blood pressure-lowering medication is often prescribed. A diet low in fat and cholesterol, sodium, and potassium is also recommended. Type 2 diabetics with kidney disease are advised…
- not to smoke and
- perform exercise at least two or three times a week.
Going for regular medical checkups and beginning treatment early will help keep diabetic kidney disease from progressing. Consider discussing ankle to brachial index with your doctor.
Although managing your disease can be very challenging, Type 2 diabetes is not a condition you must just live with. You can make simple changes to your daily routine and lower both your weight and your blood sugar levels. Hang in there, the longer you do it, the easier it gets.
For nearly 25 years Beverleigh Piepers has searched for and found a number of secrets to help you build a healthy body. Go to http://DrugFreeType2Diabetes.com to learn about some of those secrets.
The answer isn’t in the endless volumes of available information but in yourself.
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