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Shield Your Kidneys from Diabetes & High BP

Co-managed clinics with precision meds, ABPM, and renal nutrition tailored to Indian lifestyles

Book Combined Clinic
95%
BP Control
Patients achieve <130/80 mmHg in 3 months
1.2%
Annual eGFR Decline
Reduced from baseline 4% progression
92%
Medication Adherence
Maintained via digital reminders

When to Consult

  • Diabetes longer than 5 years
  • Hypertension requiring two or more medications
  • Albumin detected in urine reports
  • Uncontrolled morning BP or nocturnal surges
  • Swelling, tingling, or fatigue despite treatment
  • Family history of diabetic kidney failure

Understanding Diabetic & Hypertensive Kidney Risks in India

India leads the world in diabetes prevalence, and Telangana sees earlier onset hypertension due to sedentary IT lifestyles. Together, these conditions accelerate kidney damage. Ajuda Hospitals created a renometabolic clinic that unites diabetologists, nephrologists, and cardiologists to slow and even reverse early kidney decline.

We recognise cultural habits—high-sodium pickles, festival sweets, late-night meals—that sabotage control. Our team translates global evidence into Hyderabad-friendly plans, using technology and multilingual coaching so patients can sustain improvements.

When to Consult Our Renometabolic Specialists

⚠️ Seek Immediate Care If You Experience:

  • ✓ Persistent BP above 160/100 despite medication
  • ✓ Sudden swelling, frothy urine, or breathlessness
  • ✓ Recurrent hypoglycaemia or uncontrolled sugars >250 mg/dL
  • ✓ Severe headache with vision changes

Schedule a visit if urine tests show albumin, your BP fluctuates despite treatment, or diabetes duration crosses five years. Early intervention reduces the risk of dialysis and cardiovascular events.

Our Diagnostic Approach

Renometabolic Profiling

Comprehensive labs for HbA1c, eGFR, urine ACR, lipid profile, and inflammatory markers provide a baseline. Retinal scans and foot exams detect complications linked to kidney risk.

ABPM & BP Analytics

ABPM uncovers nocturnal hypertension and morning surges common in Indian patients. Data informs medication timing and lifestyle adjustments.

Cardio-Renal Risk Scoring

Echocardiogram, arterial stiffness, and ankle-brachial index identify silent heart disease, enabling preventive therapies.

Behavioural & Lifestyle Audit

Dietitians review meal patterns, salt intake, and snacking habits. Sleep and stress assessments guide yoga or counselling referrals.

Treatment Pathways

We follow RSSDI, ISH, and KDIGO guidelines to combine medication, lifestyle, and monitoring:

  • Medication Optimisation: SGLT2 inhibitors, GLP-1 agonists, and renin-angiotensin blockers protect kidneys and heart.
  • BP Precision: ABPM-guided drug titration and salt restriction using culturally relevant recipes.
  • Nutrition Coaching: Tailored meal plans with millets, sprouts, and low-sodium podis keep tastes intact while protecting kidneys.
  • Complication Screening: Regular checks for neuropathy, retinopathy, and cardiovascular risks ensure holistic care.
  • Fitness & Weight Management: Physiotherapists and trainers design indoor workouts suited to busy schedules.
  • Digital Adherence: WhatsApp reminders, appointment alerts, and tele reviews keep momentum between visits.

What to Expect: Your Care Journey

  1. Combined Consultation (Week 0): Diabetologist, nephrologist, and dietitian create a unified plan with ABPM scheduling.
  2. Lifestyle Bootcamp (Weeks 2-4): Nutrition workshops, physiotherapy sessions, and medication titration.
  3. First Review (Week 8): Assess lab improvements, adjust therapy, and reinforce goals.
  4. Ongoing Follow-up (Quarterly): Monitor eGFR, albuminuria, and cardiovascular metrics with tele updates for outstation patients.

Technology & Innovation

The Renometabolic Command Centre syncs glucose meter uploads, ABPM data, and labs into a single dashboard. Bilingual WhatsApp summaries keep families informed. Alerts notify our team if readings cross thresholds so we can intervene early.

Preventing Complications

By controlling sugars and BP, we prevent CKD progression, heart attacks, and strokes. Regular foot and eye exams catch issues early. Vaccination schedules and infection control reduce hospitalisations.

Why Ajuda for Renometabolic Care?

🩺 Unified Expertise

Diabetology, nephrology, and cardiology teams co-consult to provide a single, actionable plan.

🍱 Culturally Tuned Nutrition

Meal plans based on local ingredients—jowar, ragi, gongura—balance taste with health.

📲 Always Connected

Tele consults and WhatsApp support keep track of readings even when you travel.

Take the First Step

Protect your kidneys by managing diabetes and hypertension together. Call 9010550550, schedule a combined clinic visit, or WhatsApp our coordinators to begin your renometabolic journey with Ajuda Hospitals.

Diagnosis Approach

1

Renometabolic Profiling

HbA1c, eGFR, urine ACR, lipid panel, and retinal screening per RSSDI & ISH guidelines.

2

Advanced BP Monitoring

24-hr ABPM, home BP logs, and variability analysis to guide therapy.

3

Cardio-Renal Risk Assessment

Echocardiogram, ankle-brachial index, and arterial stiffness measurement to stratify vascular risk.

4

Lifestyle & Behaviour Audit

Diet recall, activity levels, stress evaluation, and sleep screening to personalise interventions.

Treatment Options

SGLT2 & GLP-1 Optimisation

Renoprotective diabetes therapy with structured titration and hypoglycaemia safety checks.

Cuts renal decline by 35% per CREDENCE & EMPA-KIDNEY data.
Long-term with quarterly reviews

BP Precision Clinic

Combination ACEi/ARB, CCB, and diuretics with ABPM targets and salt restriction coaching.

Achieves <130/80 mmHg in 12 weeks.
Monthly titrations until control

Renal Nutrition Studio

Meal plans using millets, leafy greens, and low-glycaemic recipes in Telugu, Hindi, and Urdu.

Improves HbA1c by 1% and reduces salt intake.
8-week program with digital follow-up

Complication Surveillance

Neuropathy, retinopathy, and cardiovascular screening with early interventions.

Detects complications 6 months earlier than routine care.
Quarterly to annual schedule

Weight & Fitness Hub

Physiotherapy-led exercise plans, yoga, and strength training for metabolic health.

Supports 5-7% weight loss in 3 months.
12-week cycles

Digital Adherence Program

WhatsApp reminders, tele consults, and pharmacist calls to maintain medications.

Keeps adherence above 90%.
Ongoing

Expected Outcomes

Treatment Timeline

4 Weeks

Improved fasting sugars and BP readings

8-12 Weeks

Albuminuria downtrend and weight reduction

6 Months

Stabilised eGFR and reduced cardiovascular risk

1 Year+

Sustained renal protection with lifestyle mastery

Success Metrics

  • HbA1c drop ≥1%
  • Urine ACR reduction by 30%
  • BP control <130/80 mmHg