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Diabetes, Damaged Kidneys, Dialysis, High Blood Pressure

I have lived with diabetes for 30 years. 3 years ago, it damaged my kidneys. Now I am taking dialysis for 3 times a week and blood pressure is also elevated. How should I manage my high blood pressure?

 Kidney damage is a common complication of Diabetes. High blood glucose can impair the tiny blood vessels in kidneys and cause them to lose the normal filtration ability. As a result, high levels of fluids build up in body, leading to high blood pressure. Kidney damage is a common cause of high blood pressure in diabetes.

Additionally, high blood pressure for people with diabetes on dialysis may be attributed to the following factors:

* The impaired kidneys fail to remove excess fluids from body, leading to retention of fluids.

* High intake of fluids and salt can cause retention of fluids.

* Dialysis removes water and sodium, which can increase the secretion of renin. It can elevate blood pressure.

* Hard water syndrome is another cause of high blood pressure. If hard water is used during dialysis, it can increase the concentration of Ca2+ and Mg2+. Acute hypercalcemia or hypermagnesemia can elevate blood pressure.

For diabetes patients on dialysis, not one factor attributes to high blood pressure, but a range of factors as mentioned above.

High blood pressure is very bad to the patients and it can increase the risk of cardiovascular diseases significantly. Therefore, it is important to keep it under control.

First of all, the patients should find out the cause and then take relative treatment. Adjusting dialysis, limiting water and salt intake, etc are common methods to control high blood pressure during dialysis.

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