Diabetes and Kidney Disease Center - Honolulu, HI
Honolulu Endocrinologist Doctors for Diabetes and Kidney DiseaseType of Physician: Endocrinologist What is a Endocrinologist? A subspecialty certification by the Board of Internal Medicine; practitioners treat disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. Endocrinology also deals with disorders such as diabetes, metabolic and nutritional disorders, pituitary diseases, and menstrual and sexual problems. Specialty: Endocrinology Common Name: Endocrinologist Doctors in Honolulu * Straub Clinic & Hospital King St  Straub Clinic & Hospital King St  Steven S. Sameshima, MD  Laurie K Tom MD  Lisa Wong MD  Central Medical Clinic  Central Medical Clinic  David Fitz-Patrick MD  John Kim MD  Michael Bornemann MD  S Y Tan MD  Hawaii Physicians Group  Kaiser Permanente Maui Lani Clinic Honolulu, HawaiiHonolulu is the capital of and the most populous census-designated place (CDP) in the U.S. state of Hawaii. Although Honolulu refers to the urban area on the southeastern shore of the island of Oahu, the city and the county are consolidated, known as the City and County of Honolulu, and the city and county is designated as the entire island. The City and County of Honolulu is the only incorporated city in Hawaii, as all other local government entities are administered at the county level. In the Hawaiian language, Honolulu means "sheltered bay" or "place of shelter." Upcoming Local Events2012-06-17
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Diabetes and Kidney DiseaseRead the Diabetes and Kidney Disease article » The Burden of Kidney FailureEach year in the United States, more than 100,000 people are diagnosed with kidney failure, a serious condition in which the kidneys fail to rid the body of wastes.1 Kidney failure is the final stage of chronic kidney disease (CKD). Diabetes is the most common cause of kidney failure, accounting for nearly 44 percent of new cases.1 Even when diabetes is controlled, the disease can lead to chronic kidney disease and kidney failure. Most people with diabetes do not develop chronic kidney disease that is severe enough to progress to kidney failure. Nearly 24 million people in the United States have diabetes, 2 and nearly 180,000 people are living with kidney failure as a result of diabetes.1 People with kidney failure undergo either dialysis, an artificial blood-cleaning process, or transplantation to receive a healthy kidney from a donor. Most U.S. citizens who develop kidney failure are eligible for federally funded care. In 2005, care for patients with kidney failure cost the United States nearly $32 billion.1
Source: United States Renal Data System. USRDS 2007 Annual Data Report. African Americans, American Indians, and Hispanics/Latinos develop diabetes, chronic kidney disease, and kidney failure at rates higher than Caucasians. Scientists have not been able to explain these higher rates. Nor can they explain fully the interplay of factors leading to kidney disease of diabetes?factors including heredity, diet, and other medical conditions, such as high blood pressure. They have found that high blood pressure and high levels of blood glucose increase the risk that a person with diabetes will progress to kidney failure. The Course of Kidney DiseaseDiabetic kidney disease takes many years to develop. In some people, the filtering functio... Recommended Reading Related to Diabetes and Kidney DiseaseHow is diabetes treated?The major goal in treating diabetes is to minimize any elevation of blood sugar (glucose) without causing abnormally low levels of blood sugar. Type 1 diabetes is treated with insulin, exercise, and a diabetic diet. Type 2 diabetes is treated first with weight reduction, a diabetic diet, and exercise. When these measures fail to control the elevated blood sugars, oral medications are used. If oral medications are still insufficient, treatment with insulin is considered. Adherence to a diabetic diet is an important aspect of controlling elevated blood sugar in patients with diabetes. The American Diabetes Association (ADA) has provided guidelines for a diabetic diet. The ADA diet is a balanced, nutritious diet that is low in fat, cholesterol, and simple sugars. The total daily calories are evenly divided into three meals. In the past two years, the ADA has lifted the absolute ban on simple sugars. Small amounts of si... Other Related Diabetes and Kidney Disease ArticlesEmergency Contact for Honolulu
Nearby Honolulu Hospitals *Queen's Medical Center Straub Clinic & Hospital Rehabilitation Hospital of the Pacific Kuakini Medical Center Kapiolani Medical Center for Women & Children Shriners Hospital for Children Hawaii Medical Center East Le'ahi Hospital Tripler Army Medical Center Kaiser Permanente Moanalua Medical Center Castle Medical Center Hawaii State Hospital Kapiolani Medical Center at Pali Momi  Kahi Mohala Behavioral Healthcare  Hawaii Medical Center West  Wahiawa General Hospital  Kahuku Hospital Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
Suggested Reading on Diabetes and Kidney Disease by Our Doctors
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Related Diseases & Conditions
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Kidney Failure
- Kidney failure can occur from an acute event or a chronic condition or disease. Prerenal kidney failure is caused by blood loss, dehydration, medication. Some of the renal causes of kidney failure are from sepsis, medications, rhabdomyolysis, multiple myeloma, and acute glomerulonephritis. Post renal causes of kidney failure include bladder obstruction, prostate problems, tumors, or kidney stones. Treatment options included diet, medications, or dialysis.
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High Blood Pressure
- High blood pressure, also known as hypertension, is a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 with a diastolic pressure above 90. There are two causes of high blood pressure, primary and secondary. Primary high blood pressure is much more common that secondary and its basic causes or underlying defects are not always known. It is known that a diet high in salt increases the risk for high blood pressure, as well as high cholesterol. Genetic factors are also a primary cause. Secondary high blood pressure is generally caused by another condition such as renal hypertension, tumors, and other conditions. Treatment for high blood pressure is generally lifestyle changes and if necessary, diet.
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Diabetes (Type 1 and Type 2)
- Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
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High Blood Pressure Treatment
- High blood pressure (hypertension) means high pressure (tension) in the arteries. Treatment for high blood pressure include lifestyle modifications (alcohol, smoking, coffee, salt, diet, exercise), drugs and medications such as ACE inhibitors, angiotensin receptor blockers, beta blockers, diuretics, calcium channel blockers (CCBs), alpha blockers, clonidine, minoxidil, and Exforge.
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Diabetes Treatment
- The major goal in treating diabetes is controlling elevated blood sugar without causing abnormally low levels of blood sugar. Treatment for type 1 diabetes is with insulin, exercise, and a diabetic diet. Treatment for type 2 diabetes is first treated with weight reduction, a diabetic diet, and exercise. When these measures fail to control the elevated blood sugar, oral medications are used. If oral medications are still insufficient, insulin medications are considered.
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Diabetic Neuropathy
- Diabetic Neuropathy is a complication of diabetes that causes damage to the nerves; this is related to the blood glucose of the body being too high for a long period of time. The four types of neuropathy include peripheral, autonomic, proximal and focal.
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Hypertensive Kidney Disease
- High blood pressure can damage the kidneys and is one of the leading causes of kidney failure (end-stage renal kidney disease). Kidney damage, like hypertension, can be unnoticeable and detected only through medical tests. If you have kidney disease, you should control your blood pressure. Other treatment options include prescription medications.
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Diabetes Prevention
- The risks for developing type 2 diabetes include family history, ethnicity, birth weight, metabolic syndrome, and obesity. Warning signs pointing to an increased risk for developing type 2 diabetes include irregular menstruation, impaired fasting glucose, inflammatory markers, and other risks. Gestational diabetes is also a risk factor for developing type 2 diabetes later in life. Prevention of type 2 diabetes can be achieved through a healthy diet (Mediterranean diet), exercise, weight control, not smoking, and medication.
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Diabetic Home Care and Monitoring
- Managing your diabetes is important. The goal of diabetic therapy is to control blood glucose levels and prevent the complications of diabetes. Information about exercise, diet diet, and medication will help you manage your diabetes better. Blood glucose reagent strips, blood glucose meters, urine glucose tests, tests for urinary ketones, continuous glucose sensors, and Hemoglobin A1C testing information is also provided in this article.
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Diabetes: Caring for Your Diabetes at Special Times
- Taking care of a disease such as diabetes is a life-long process. Learn how to care for yourself or loved one with diabetes in situations such as illness, work, school, travel, or a natural disaster.
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Kidney Failure
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