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Jamie Uribarri Part 8, Kidney Disease Prevention

In part 8, the conclusion of this Exclusive Interview, Jamie Uribarri talks with Diabetes in Control Publisher Steve Freed during the ADA 2017 Scientific Sessions in San Diego, CA about kidney disease prevention through preventing the development of type 2 diabetes.

Jamie Uribarri, MD, is a physician and clinical investigator at The Icahn School of Medicine at Mount Sinai in New York.

Transcript of this video segment:

Freed: If you had to put a number on your patients, of ones that could have been prevented, what percentage of kidney disease would you say can be prevented?

Uribarri: Oh you’re asking the wrong person. I would tell you all of them, no, but if you look at information for dialysis, we have a lot of information in this country because we have a database, the USRDS Database. It has information for every dialysis patient in this country. Sixty percent of those patients, patients who are on dialysis in this country right now, it is either because of diabetes or hypertension. In theory, this can be prevented. Take into consideration that when we talk about diabetes, we are not talking about type 1, which is minute. I do not mean to diminish type 1 and what it means for families that are affected by the disease, but from a public health perspective, it’s a minor problem. It is type 2 that is the one that is important. And that is clearly a socioeconomic disease. It has nothing to do more with than with lifestyle; you eat wrongly, you do not exercise, and all of that can be affected just by lifestyle modification. So it is really a shame that in terms of diabetes and hypertension, we’re just acting with medication to correct some specific problems and not preventing the development of the disease itself. So if I am basing the statement on the fact that 60 percent of the patients on dialysis in this country are on it solely because of diabetes and hypertension, I would say that at least 55 percent could have been prevented.

Freed: Why don’t we just give everyone SGLT2s?

Uribarri: Well, we should perhaps start doing that, no, there’s more than that, and you need to go healthy all the way. Drink water, don’t drink soda, go on low AGE diet, eat fresh fruit, unprocessed foods, try to not add too much salt, add a lot of spices, exercise, at least walk daily, and then, if you still need medication, take metformin and SGLT2s. That may end up to be the answer.

Freed: Well, I want to thank you for your time. I found it very interesting. I learned something and that’s one of the reasons I like to do these interviews. Not for our readers, just for myself, because I get to learn from all the top doctors in the world at the forefront of making changes in how we practice medicine. So I want to thank you for that.

Uribarri: Thank you very much for having me.

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