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DaVita Diabetology - DaVita Deutschland

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Quality medical care comes from knowledge, experience and time.

About Us

DaVita is a global provider of healthcare services, operating in 12 countries around the world.

DaVita strives to improve patients’ quality of life, in coordination with physicians, through clinical innovation and optimized clinical outcomes. We aim to build the greatest healthcare community the world has ever seen by innovating and adding value to healthcare regionally while being a role model for global care. Our diabetology centers’ multidisciplinary teams, which include physicians, nurses and dieticians, provide excellent care to patients with Type 1 and 2 diabetes and Gestational diabetes.

Clinic Info

DaVita Düsseldorf – Bismarckstraße

Bismarckstraße 101
40210 Düsseldorf

Services Offered:

  • Diabetes treatment Type 1 and 2
  • Nutritional consultation
  • Care of pregnant diabetic women
  • Treatment of diabetic nervous disorders
  • Treatment of diabetic foot syndrome
  • Ophthalmological specialist hours
  • Diabetes training
  • Treatment of fat metabolism disorders and hypertension

Hours of Operation
Monday-Friday: 8:00-18:00
And by appointment

Contact Us:
Email the representative for medical product safety

Google Map of Düsseldorf

Overview:The DaVita diabetology practice in Düsseldorf is located right next to the central train station and is easily reached using public transportation. Our diabetes center has been certified by the responsible association of the Deutsche Diabetes Gesellschaft (DDG) as a treatment facility for people with type 1 and type 2 diabetes mellitus. From the initial diagnosis to whatever form your diabetes mellitus has taken, our team of diabetes specialists will take care of you based on your individual situation. Our experienced diabetes team—consisting of three diabetologists, three diabetes counselors, one diabetes assistant, and two medically trained staff members—will support you in the course of your illness and will also provide you with additional individualized counseling. For example with regard to nutrition, as well as specific issues like exercise, shift work, travel, or the early stages of pregnancy. Our entire range of counseling services is also available in English. We provide care associated with transitioning from pills to insulin therapy, specialized consultation and support for women with diabetes before and during pregnancy, diagnosing and treating gestational diabetes, treating diabetic nerve disorders, and treating diabetic foot syndrome. We have also organized special consultation sessions with an ophthalmologist for diabetes-related ailments of the eye. Additionally, we have a high level of expertise when it comes to insulin pumps and continuous glucose measurement (CGM) of all types. We offer all recognized training courses:

  • ZI training program for type 1 diabetes/PRIMAS and insulin pump therapy
  • Perception disorders related to hypoglycemia/HYPOS
  • SPECTRUM (continuous glucose measurement)
  • MEDIAS Basis, MEDIAS ICT
  • ZI training program for type 2 diabetes with and without insulin
  • ZI training program for high blood pressure
Our primary expertise of diabetology is complemented by our doctors’ qualifications as experts in nephrology, lipidology, and hypertension. We therefore also observe and treat possible existing complications and carry out preventive care for kidney disorders, lipid metabolism disorders, and high blood pressure. We have a large nephrology practice right in our building, which enables us to treat a broad spectrum of kidney disorders, including all dialysis procedures. We also offer you lipid consultation as well as all general and specific forms of therapy for increased cholesterol, triglycerides, and lipoproteins. And, of course, we will work in close concert with your general practitioner.

 

DaVita Dormagen

Elsa-Brändström-Str. 17
41540 Dormagen

Services Offered:

  • Diabetes training Type 1-4
  • Diabetes treatments Type 1-4
  • Nutritional consultation
  • Gestational diabetes
  • Insulin pump therapy
  • Care of pregnant diabetic women

Hours of Operation
Monday: 07:00 – 12:30 and 13:30 – 18:30
Tuesday: 07:00 - 13:00
Wednesday: 07:00 – 12:30 and 13:30 – 18:30
Thursday: 07:00 - 13:00
Friday: 07:00 – 12:30 and 13:30 – 18:30
Saturday: Closed
Sunday: Closed
And by appointment

Contact Us:
Email the representative for medical product safety

Google Map of Dormagen

Overview:The DaVita center in Dormagen is located in the immediate vicinity of the county hospital in Dormagen, with parking available directly at the center. We care for patients with all types of diabetes mellitus, including gestational diabetes and diabetes as a result of pancreatic illness or removal of the pancreas. Our treatment is carried out by a highly qualified team of diabetologists who are certified by the German medical association and the Deutsche Diabetes Gesellschaft (DDG), along with DDG-certified diabetes counselors and employees who are trained in diabetes counseling. We offer group training sessions in our own training room equipped with the latest media technology where we use approved and certified programs for all possible types of therapy, including insulin pumps. Individualized training and counseling, for example on the continued use of blood sugar measurement systems, round out our portfolio. Our objective is to care for our patients with chronic diseases and to prevent the occurrence of diabetes-realted complications through therapy and treatment. In addition to the treatment of diabetic foot syndrome in our own facilities by DDG nurses, comprehensive therapy for diabetic nephropathy forms an additional focus of our range of treatment options. Regular professional development and training help us to stay up to date as well as to pass this expertise on to third parties through regular training courses. Our close collaboration with doctors, specialized clinics, and university hospitals allow us to provide our patients with ideal support. We continuously assess the quality of our organization as well as results and are recognized and certified by the Deutsche Diabetes Gesellschaft as a DDG diabetology center.

DaVita Alzey

Am Damm 17
55232 Alzey

Services Offered:

  • Diabetes treatment Type 1 and 2
  • Treatment of diabetic foot syndrome
  • Nutritional consultation
  • chronically programs
  • Insulin pump therapy
  • Diabetes training
  • Care of pregnant diabetic

Hours of Operation
Monday: 08:30 - 11:30 and 15:00 - 17:00
Tuesday: 08:30 - 11:30 and 15:00 - 17:00
Wednesday: 08:30 - 11:30
Thursday: 08:30 - 11:30 and 15:00 - 17:00
Friday: 08:30 - 11:30 and 15:00 - 17:00
Saturday: Closed
Sunday: Closed
And by appointment

Contact Us:
Email the representative for medical product safety

Google Map of Alzey

Overview:The DaVita center in Alzey is centrally located and in the immediate vicinity of the local hospital. As a subsidiary location, the MVZ offers a C level diabetology practice with a DDG-certified outpatient foot care facilities. Here, we can treat all types of diabetes mellitus with various therapeutic approaches and provide specialized care for diabetic foot syndrome. In doing so, the majority of our patients suffer from the most common form of diabetes—so-called type 2—but we also treat a smaller number of people with type 1 diabetes with the specialized option of pump therapy with CGM or FGM. Additionally, our diabetes counselors happily advise and train expecting mothers who are suffering from gestational diabetes. And, of course, we also strive to recognize and treat any complications related to diabetes or coronary artery disease through preventive care consisting of disease management programs. As such, we offer our patients highly modern and professional care with a broad range of services - from preventive screenings for stroke, colon cancer, and heart and circulation disorders to gastroenterological endoscopy, upper-abdominal and blood vessel sonography, and echocardiography and thyroid ultrasounds.

DaVita Viersen - Dülken

Kampweg 21
41751 Viersen-Dülken

Services Offered:

  • Diabetes treatment Type 1 and 2
  • Treatment of diabetic foot syndrome
  • Nutritional consultation
  • chronically programs
  • Insulin pump therapy
  • Diabetes training
  • Care of pregnant diabetic

Hours of Operation
Monday-Friday by prior arrangement

Contact Us:
Email the representative for medical product safety

Google Map of Viersen-Dülken

Overview:At the diabetology practice at the DaVita center in Viersen-Dülken, we provide intensive care for patients with diabetes mellitus. Diabetes is one of the most common causes of kidney disease, and risk can increase especially in combination with high blood pressure. Professional therapeutic care and the right diagnosis are crucial to keeping this risk as low as possible from as early on as possible. Our team of diabetological experts has accepted the challenge and specialized in precisely that. Knowledge about life conditions, discomfort, forms of therapy, and a comprehensive physical examination of our patients help us to make a diagnosis and provide treatment. Together with you and in close collaboration with your primary-care physician, we will create an appropriate therapy plan. Practical Support Specialized consultations on therapy counseling (e.g. on the topic of nutrition), treatment of pregnant women with diabetes, and individual and group training courses—for example on how to use the necessary aids (measuring blood sugar, insulin needles)—make it easier for our patients to live with their disease. Comprehensive treatment of diabetes is far more than just regulating blood sugar through medication. Diabetes mellitus is a multifaceted disease that often affects other parts of the body as well. Complications and accompanying illnesses include, among others, nerve damage and circulation disorders in the legs and feet. We treat these complications as part of our specialized consultations on diabetic foot syndrome. Here, for example, patients are given advice on how to protect their skin and extremities from injuries. At the same time, we also treat any already-existing lesions (open wounds).

Physician Leadership

Ahlert

Dr. med. Ludwig Merker

Diabetologist, Internist, Nutritional Medicine and Sports Medicine
  • Received advanced training in diabetology and lipidology
  • Received advanced training in hypertensiology

Bio: Dr. med. Ludwig Merker studied medicine at the University of Bochum. During his clinical career, he worked in various clinics in Herne, Borken, Grevenbroich, Dormagen and Neuss. In 1993, he joined a dialysis center in Grevenbroich, and one year later founded the dialysis center in Dormagen. He is a member of the German Society of Internal Medicine, the German Diabetes Society and the American Society of Nephrology. In addition, Dr. Merker is chairman of the diabetes and kidney group of the German Diabetes Society.

Dr. med. Ludwig Merker practices at the following clinic(s):
  • DaVita Dormagen
Ahlert

Dr. med Michael Böckmann

Diabetologist, Internist, Occupational Medicine
  • Studied medicine in Hamburg and Heidelberg
  • Received advanced training in diabetology

Bio: Dr. med. Michael Böckmann studied medicine in Hamburg and Heidelberg and received his medical degree with a doctorate in 1990. His career led him to the department of internal medicine at University Hospital Ulm and to the medical clinic of the Westpfalz Klinikum Kaiserslautern hospital. He holds specializations in internal medicine, diabetology and occupational medicine. Dr. Böckmann focuses on diabetology, dialysis, occupational medicine, endoscopy, ultrasound and angiology. He is a member of the AG Fuß and the German Diabetes Society.

Dr. med. Michael Böckmann practices at the following clinic(s):
  • DaVita Alzey
Ahlert

Dr. med. Carla Weber

Diabetologist, Gastroenterologist, Internist
  • Was senior physician at Ketteler-Hospital in Offenbach
  • Member of the German Society of Internal Medicine

Bio: Dr. med. Carla Weber studied medicine at the University of Mainz and earned her doctorate here in 2000. She worked as an assistant doctor in internal medicine and gastroenterology at St. Hildegardis Hospital in Mainz, and as a senior physician in gastroenterology, gastroenterological oncology and diabetology at Ketteler-Hospital in Offenbach. Dr. Weber is a member of the German Society of Internal Medicine, the German Society of Digestive and Metabolic Diseases and the German Diabetes Society.

Dr. med. Carla Weber practices at the following clinic(s):
  • DaVita Alzey
Ahlert

Dr. med. Joachim Zerlik-Rösch

Dibetologist, Gastroenterologist, Internist
  • Focuses on gastroenterology endoscopy and diabetology
  • Received advanced training in diabetology

Bio: Dr. med. Joachim Zerlik-Rösch received his doctorate in medicine in 1989 and began his clinical career in the internal medicine department of St. Hildegardis Hospital in Mainz. In 1997, he attained a specialization in internal medicine and the designation of diabetologist. That same year, he joined the Alzey center as a staff specialist. He focuses on gastroenterology endoscopy and diabetology. Dr. Zerlik-Rösch is a member of the German Diabetes Society and the German Society of Digestive and Metabolic Diseases.

Dr. med. Joachim Zerlik-Rösch practices at the following clinic(s):
  • DaVita Alzey
Ahlert

Dr. med. Fatma Yaltirakli

Diabetologist, Internist, Nephrologist
  • Received advanced training in diabetology
  • Received advanced training in hypertensiology

Bio:Fatma Yaltirakli studied medicine at the Heinrich-Heine University in Düsseldorf from 1997 to 2003 and began her career in 2004 as a clinical physician at Helios Klinikum Krefeld. During this time, she acquired a rescue service technical qualification and has specialized in internal medicine and as a wound expert in chronic wounds. In 2012, she moved from Helios-Klinikum into practice with Dr. Merker and Dr. Morosan at the DaVita Dormagen center. She received a designation of specialist in nephrology and received the designation of Hypertensiologe DHL® in 2013 and the additional title of diabetology in 2015.

Dr. med. Fatma Yaltirakli practices at the following clinic(s):
  • DaVita Dormagen
Ahlert

Dr. med. Thomas Morosan

Diabetologist, Interist, Nephrologist
  • Focuses on nephrology
  • Received advanced training in diabetology

Bio:Dr. med. Thomas Morosan received his degree in human medicine in 1992, and received his medical license in 1999. He worked as a medical resident in the Department of Internal Medicine at the Porz am Rhein Hospital, and in 2005 as a junior doctor, he moved to the Department of Nephrology, Diabetes and Rheumatology at Helios Klinikum Krefeld. As a resident, his training was as an internist and nephrologist. In 2006, he earned a designation as a specialist in internal medicine and in 2008 as a specialist in nephrology with recognition as Hypertensiologe DHL®. Since 2009, Dr. Morosan has shared a practice with Dr. Ludwig Merker at the DaVita Dormagen center. He has advanced training as a diabetologist (DDG) and is designated as a diabetologist ÄK.

Dr. med. Thomas Morosan practices at the following clinic(s):
  • DaVita Dormagen
Ahlert

Professor Dr. med. Werner Kleophas

Diabetologist, Internist, Nephrologist
  • Focused on programs for treating patients with diabetes mellitus and chronic kidney disease
  • Helped create the Genius® dialysis system

Bio: Prof. Dr. med. Werner Kleophas launched his career in the mid-1980s at the medical clinic of Ferdinand-Sauerbruch Hospital in Wuppertal. From there, he transferred to the diabetes research institute at the University of Düsseldorf and the nephrological clinic at Düsseldorf University Hospital. From 1990 to 2013 he worked at a joint practice in Düsseldorf as a physician in private practice, specializing in internal medicine and nephrology and with an additional qualification in diabetology.

Professor Dr. Kleophas is one of the first specialized physicians in Germany to introduce combined programs for treating patients with diabetes mellitus and chronic kidney disease. He was also involved with the development of the Genius® dialysis system. He is a fellow of the American Society of Nephrology and is a member of many professional associations and editorial boards for nephrology and diabetology.

Professor Dr. med. Werner Kleophas practices at the following clinic(s):
  • DaVita Düsseldorf - Bismarckstraße
Ahlert

Dr. med. Barbara Klein

Diabetologist, Internist, Nephrologist
  • Holds lipidologist DGFF title
  • Received advanced training in diabetology and hypertensiology

Bio: Dr. med. Barbara Klein completed her studies of medicine in Antwerp and Freiburg and finished 1992. She concluded her clinical work at the Clinic for Nephrology and Rheumatology at the University of Düsseldorf in 1998 with the title of specialist in internal medicine. During her work in the Clinic for Nephrology, Diabetology and Rheumatology at the HELIOS Clinic Krefeld, she completed additional advanced training in diabetology DDG, hypertensiology DHL® (German Hypertension League) and diabetology from the North Rhine Medical Association. She became a specialist in nephrology in 2008. She completed further advanced training for the title of lipidologist DGFF in 2013. One year later, Dr. Klein joined DaVita Rhein-Ruhr.

Dr. med. Barbara Klein practices at the following clinic(s):
  • DaVita Düsseldorf - Bismarckstraße
Ahlert

Dr. med. Sebahat Sat

Diabetologist, Internist, Nephrologist
  • Received advanced training in natural medicine and diabetology
  • Specialist in internal medicine and nephrology

Bio:Dr. med. Sebahat Sat completed her medical studies in Bochum. 2005 she earned the title of specialist for internal medicine. She followed this with additional advanced training in natural medicine and diabetology. She has worked at the Internal Medicine Clinic in Marl and the Diabetology Clinic in Dortmund, and she joined the Karlstraße practice in 2009. The facility merged with DaVita in 2014. Dr. Sat attained her specialization in nephrology in 2015 at the Clinic for Nephrology and Rheumatology at the University of Düsseldorf.

Dr. med. Sebahat Sat practices at the following clinic(s):
  • DaVita Düsseldorf - Bismarckstraße
Ahlert

Dr. med. Sven Herrnberger

Diabetologist, Internist, Nephrologist
  • Received advanced training in diabetology and lipidology
  • Received advanced training in hypertensiology

Bio:After completing his studies and graduating in 1993, Dr. Sven Herrnberger began his residency the same year in the department for general internal medicine and gastroenterology at the city hospital in Solingen. Other stops in his professional career include the Marien Hospital in Düsseldorf, the Marien Hospital in Duisburg, and the medical clinics at Heinrich Heine University Düsseldorf. He earned his specialization in internal medicine in 1999, in nephrology in 2001, and – while working at the diabetes center at St. Josef hospital in Haan in 2003 – the additional specialty in diabetology. He has been a member of the Deutsche Diabetes Gesellschaft (DDG), the German “Lipid League,” and the Deutsche Hochdruckliga since 2006, as well as a DGFF lipidologist since 2011.

Dr. med. Sven Herrnberger practices at the following clinic:
  • DaVita Viersen - Dülken

Diabetes Education

What is Diabetes?

Diabetes mellitus (commonly called just diabetes) is a disease that prevents your body from properly using energy from food. Normally your body breaks down sugar and carbohydrates you eat into glucose, a sugar, so it can be absorbed into the bloodstream as energy for the cells in your body. Your cells also need insulin, a hormone produced by your pancreas, in your bloodstream in order for the glucose to be used as energy. When you have diabetes, your body either can’t use the insulin being produced or it isn’t producing enough—or a combination of both.

Type of Diabetes

If you have just been diagnosed with diabetes, you may have a lot of questions about your condition. One thing to know is there are two main types of diabetes: type 1 and type 2. The more common is type 2 diabetes.

Type 1 Diabetes

Type 1 diabetes is commonly diagnosed in people younger than 20, but can be diagnosed in people of any age. Type 1 diabetes occurs when the insulin-producing cells of the pancreas are damaged. With type 1 diabetes the pancreas produces little to no insulin, which prevents sugar from getting into the body’s cells for use as energy. This causes blood sugar levels to rise, resulting in high glucose levels (known as hyperglycemia). People with type 1 diabetes have to use insulin injections to control their blood sugar levels.

Type 2 Diabetes

Type 2 diabetes is commonly found in overweight people over the age of 45. People with type 2 diabetes produce insulin, but it is either not enough or it doesn’t work as needed to help break down glucose to be used as energy. This causes blood sugar levels to rise.

Gestational Diabetes

Gestational diabetes occurs in pregnant women who have never had diabetes but their blood glucose levels are high during pregnancy. This is temporary and most common late in pregnancy. Women with gestational diabetes are not able to use all of the insulin needed during pregnancy. This means the glucose cannot leave the blood to be converted to energy, resulting in hyperglycemia. Not all drugs can be prescribed in pregnancy, so we carefully treat and monitor women affected by gestational diabetes, in partnership with their gynecologists. These women are monitored from diagnosis through post-birth to ensure the safety of the women and their children.

Why is Diabetes a Serious Condition?

Some people become very ill with diabetes. They may have problems such as dehydration or infection. If diabetes is untreated for many months or years, the blood vessels and nerves in your body can also become damaged. This can lead to problems such as heart attacks, strokes, kidney damage, eye damage, and problems with circulation and feeling in the feet. It is important to keep blood pressure, blood sugar, and blood cholesterol levels as close to normal as possible to help prevent complications.

What Are the Risk Factors of Developing Diabetes?

Risk factors include:

  • Obesity
  • Age (being over the age of 45)
  • A family history of diabetes
  • High blood pressure
  • Low HDL (or “good”) cholesterol and high triglyceride levels
  • Diabetes during pregnancy (gestational diabetes)
  • Certain ethnic backgrounds

 

Illness, infection, surgery, and stress can also increase your blood sugar level. Sometimes diabetes develops even when you are at a healthy weight and no one else in your family has it

What Do I have to Do to Take Care of My Diabetes?

To start it's best to focus on the following five key areas.

  1. Get educated.

    DaVita offers diabetes classes. These classes will teach you how to manage your diabetes by making healthy changes over time. This will make a big difference in how you feel.

  2. Eat right.
    • Eat three balanced meals daily, four to five hours apart.
    • Follow the healthy plate method for your meals: ½ plate vegetables, ¼ plate lean protein and ¼ plate carbohydrates.
    • Increase your fiber intake. Fiber helps to control blood sugars. Foods such as whole grains, beans, lentils, and vegetables are great sources of fiber.
    • Drink water, unsweetened coffee, or tea. Do not drink sugar-sweetened beverages such as soda and juice.
    • For more information on healthy eating, ask your doctor or registered dietician about a food plan.
  3. Be active.

    DaVita offers diabetes classes. These classes will teach you how to manage your diabetes by making healthy changes over time. This will make a big difference in how you feel.

  4. Check your blood sugar.
  5. Take your diabetes medications as prescribed by your doctor.

Preparing for Your First Visit

If you have type 1 diabetes, you can visit our practice without a referral from your primary care physician. Much more common is type 2 diabetes, which usually develops at a later age and is first treated with dietary changes and medication. If you have type 2 diabetes, you can visit our practice with a referral from your primary care physician. If possible, this should be a general practitioner, who participates in the DMP diabetes Kassenärztliche Vereinigung Nordrhein. A current list of participating diabetology-trained general practitioners can be located through KV Nordrhein’s toll-free phone number, (0800) 6 22 44 88, or from your insurance. In addition to your referral and health-insurance card, you should bring the following to your first visit if possible:

  • Documentation form of the family doctor according to DMP
  • Diabetes health pass
  • Diabetes diary
  • List of your medications / insulin
  • Blood glucose meter
  • The latest results of primary care laboratory tests (not more than three months old)
  • Important hospital reports
  • If pregnant: Mutterpass

We conduct detailed exams of our patients to determine how best to treat each one. These exams can include testing of nerve sensitivity in the feet, an assessment of circulation in the legs, measuring your blood pressure, doing an ultrasound of the kidneys, and recording an ECG. If possible, we ask that you avoid wearing support stockings the day of your appointment to allow for easy access to your feet for the foot test.

Options for treating diabetes are becoming more diverse. For instance, we now know that sugar metabolism is regulated not only by insulin but by a number of hormones (incretins) that are produced in the pancreas and the gastrointestinal tract. Recently, the first drugs to act as incretins were made available. This is a new treatment option that we consider for some individuals.Type 1 diabetes must be treated with insulin at the onset of the disease. Today, there is a wide variety of insulin, with different lengths of efficacy, and they are often combined to treat diabetes. There are also many treatment options for type 2 diabetes, including dietary changes and medication. During your appointment we will discuss the following treatment options in detail:

  • Intensified insulin therapy after the basal-bolus approach or insulin pump therapy in type 1 diabetes
  • Dietary and pharmacological treatment in type 2 diabetes
  • Insulin treatment in type 2 diabetes (conventional insulin therapy with two injections of insulin daily or multiple doses of regular insulin at mealtimes)
  • Dietary treatment

Any course of treatment should include therapy training and nutritional advice, both offered in our practice by specially trained staff.

Nutritional Advice

The dieticians in our practice assist patients with diabetes, hypertension, kidney disease, and severe dyslipidemia. Nutritional counseling is a crucial aid, which supports the drug or apparatus treatment of our patients. Our dieticians educate patients on how they can contribute to their treatment of the disease itself with making changes to their diet. They provide tips on how you can improve your state without having to completely eliminate your favorite foods.

Diabetic Training

Diabetic training is an integral part of a good treatment plan. Our qualified diabetes assistants lead these small group (four to six patients) education sessions. Attendees are given materials to take home that cover everything discussed in the session, ensuring easy access to information. The costs of the group training sessions are usually covered by health insurance. We offer the following training courses:

  1. Intensified insulin therapy in type 1 diabetes in adolescence and adulthood
    • Multiple injection therapy (ICT) to basal-bolus approach
    • Continuous insulin pump therapy (CSII)
  2. Type 2 Diabetes without insulin therapy
  3. Type 2 Diabetes with conventional insulin therapy
  4. Type 2 Diabetes with regular insulin at mealtimes
  5. Training program for patients with essential hypertension Training program for patients with hypertension and renal damage
  6. Medias 2 Basis
  7. Medias 2 ICT
  8. Hypo-awareness
  9. Continuous Glucose Monitoring (CGM)

Our training sessions take place every month (except for the pump-training, the planning of which depends on the number ofinterested people). The number of sessions depends on the extent of the instructional content. Each session lasts 90 minutes. The sessions are offered in both German and Turkish. For more information, please contact the clinic directly.

Diabetes Complications

Feet

One of the most serious complications of diabetes is the emergence of non-healing wounds on the feet. Unfortunately, even today the most common result of the non-healing foot wounds is amputation. This can be prevented in many cases by a foot screening and treatment. The main cause of diabetic foot syndrome is damage to the small nerves in the feet caused by high blood sugar levels. This leads to a faulty load, since the various groups of muscles in the foot are no longer coordinating. Typically this goes unnoticed by patients, as there is no pain unless it develops into an open wound (which can expand quickly). These pressure lesions can almost always be avoided by wearing appropriate footwear and maintaining careful foot care. It is for this reason that we highly encourage patients to have regular foot checks. We specialize in the early detection and treatment of diabetic foot ulcers in all stages of the disease.

Diabetic Kidney Disease

Diabetic kidney disease (diabetic nephropathy) is one of the most common causes of renal insufficiency requiring dialysis in industrialized countries. Approximately 30 percent of diabetics (type 1 and 2) develop diabetic nephropathy during their lifetime. The risk of deteriorating kidney function in diabetic patients is determined by both genetics and factors beyond people’s control. The deterioration of renal function in diabetic nephropathy is very dangerous. It is crucial to treat hypertension and control glucose and lipid metabolism. It’s also extremely important to carefully select medicine for treatment of high blood pressure.

The earliest sign of diabetic nephropathy is the development of a microalbuminuria, the elimination of a small protein body (albumin) in the urine. We examine our patients regularly for this, as microalbuminuria indicates a high risk for the development of diabetic kidney disease and vascular disease.

Transplantation

If you’re nearing the need for dialysis and would like to explore getting a transplant, start the discussion with your nephrologist. Your doctor will discuss the transplant process with you, which generally starts with being referred to a transplant center for further evaluation. While transplant requirements vary between centers, you’ll most likely undergo comprehensive medical tests to determine if you’re a viable candidate. If you are, then the search for a donor can begin.

Finding a Match

There are two types of organ donors: a living donor and a non-living, or cadaver, donor. Compatibility between a patient and the donor reduces the chances of organ rejection and can contribute to a more successful transplant. Additionally, because medication to help prevent organ rejection is so effective, donors don’t always have to be genetically similar to the recipient. If you don’t have a potential living donor, you will be placed on the waiting list for a cadaver organ. The wait for a transplant can vary greatly depending on the type of donation you receive and current health.

Going in for Surgery

You’ll be scheduled for surgery as soon as an appropriate organ match has been identified. In most cases, your surgeon will leave your kidneys in place and simply place the new, healthy kidney in a different location in your abdomen. You will remain in the hospital for several days after the surgery and be monitored for any complications.

Common transplant concerns: While your age and health conditions prior to the transplant surgery can affect the risk of complications, there are two common post-transplant concerns.

Rejection: Medication will be prescribed to help ensure your body accepts the new kidney.

Functionality: In some cases, the newly transplanted kidney begins working right away, while in others it may require dialysis for a few days before it starts functioning normally.

Taking Care of Your New Kidney

Maintaining healthy habits and following your doctors’ recommendations is vital to help your new kidney function properly so you can have a better quality of life for years to come.

Grow Your Career with DaVita In Germany

Career Opportunities

As one of the leading providers of healthcare services, we’re always looking for top talent to add to our care teams. To learn more about available opportunities please email personal@davita-dialyse.de.

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