Dr. Jorge Busse, Nephrologist with Baptist Health South Florida, says sugar is one form of carbohydrate, and just because a product is sugar-free, it doesn't mean it is not necessarily carbohydrate free. "We are what we do and what we eat. If I know I have a propensity for diabetes, I have to be on top of things and I have to be very informed, if you're not you're going to suffer the consequences," he explains.
Dr. Jorge Busse, Nephrologist with Baptist Health South Florida, explains kidneys are connected to the bladder by the ureters. "If you are lacking calcium, you will not excrete it properly and you will keep it in your body," he says. He also points out kidneys do a lot of filtering of the blood, and they also regulate blood pressure, but basically they maintain your internal bloodstream free of toxins and control abnormalities.
Dr. Jorge Busse, Nephrologist with Baptist Health South Florida, explains if you are diagnosed with diabetes, it is not urgent to be referred to a nephrologist: "Most of the time the kidneys initially will not be affected and usually the primary care physician will determine whether you need referral to a nephrologist or not". He says there are symptoms that can be attributed to diabetes, for example, with high sugars you end up with frequent urination that results in being a little dehydrated; that is why thirst is a major issue in type 1.
Diabetes can cause damage to the eyes, heart, blood vessels, nervous system, teeth, gums, feet, skin, and kidneys. Dr. Jorge Busse, Nephrologist with Baptist Health South Florida, says diabetes affects four tissues that do not need insulin to get sugar inside the cells. "Insulin facilitates the intake of the fuel into the cells and there are four tissues that do not need that. One is the retina, that's why there's eye involvement," he explains. He also points out arteries tend to be more blocked in diabetics, and people can suffer from coronary disease, strokes and peripheral vascular disease.
Dr. Jorge Busse, Nephrologist with Baptist Health South Florida, explains usually type 1 diabetes affects patients before age 40, and type 2 affects people after 40. He also says type 2 is mostly genetic. Another difference is that in type 1, the body can no longer produce insulin, and in type 2, the body still produces insulin, but just not enough. It is important to prevent type 2 diabetes, in which being overweight, high blood pressure, and family history are risk factors.