The National Health and Nutrition Examination Survey found an incidence of endstage renal disease of 0.23/100 person years, with rates of 0.29 for patients with type 1 diabetes and 0.27 for patients with type 2 diabetes (90). Factors such as African American race, gout, and hypertension more than doubled the risk of endstage renal disease (90). In a study by Klein et al., analyzing 891 patients with type 1 diabetes, the 10-year cumulative incidence of renal failure or serum creatinine > 2.0 mg/dl was 14.9 percent (90). The risk of renal failure almost doubled for every 1 percent increase in HbA1c (36). Hypertension almost tripled the risk (90).
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.