Kidney disease or kidney damage often occurs over time in people with diabetes. This type of kidney disease is called diabetic nephropathy.
Diabetic nephropathy; Nephropathy - diabetic; Diabetic glomerulosclerosis; Kimmelstiel-Wilson disease
Each kidney is made of hundreds of thousands of small units called nephrons. These structures filter your blood, help remove waste from the body, and control fluid balance.
In people with diabetes, the nephrons slowly thicken and become scarred over time. The nephrons begin to leak, and protein (albumin) passes into the urine. This damage can happen years before any symptoms of kidney disease begin.
Kidney damage is more likely if you:
Often, there are no symptoms as the kidney damage starts and slowly gets worse. Kidney damage can begin 5 to 10 years before symptoms start.
People who have more severe and long-term (chronic) kidney disease may have symptoms such as:
When kidney damage is caught in its early stages, it can be slowed with treatment. Once larger amounts of protein appear in the urine, kidney damage will slowly get worse.
Follow your provider's advice to keep your condition from getting worse.
CONTROL YOUR BLOOD PRESSURE
Keeping your blood pressure under control (below 140/90 mm Hg) is one of the best ways to slow kidney damage.
CONTROL YOUR BLOOD SUGAR LEVEL
You can also slow kidney damage by controlling your blood sugar level through:
OTHER WAYS TO PROTECT YOUR KIDNEYS
George Bakris is an Endocrinologist and a Nephrologist in Chicago, Illinois. Dr. Bakris has been practicing medicine for over 41 years and is rated as an Elite doctor by MediFind in the treatment of Diabetic Nephropathy. He is also highly rated in 16 other conditions, according to our data. His top areas of expertise are Type 2 Diabetes, High Potassium Level, Diabetic Nephropathy, and Renovascular Hypertension. He is licensed to treat patients in Illinois. Dr. Bakris is currently accepting new patients.
Peter Rossing is in Copenhagen, Denmark. Rossing is rated as an Elite expert by MediFind in the treatment of Diabetic Nephropathy. He is also highly rated in 22 other conditions, according to our data. His top areas of expertise are Diabetic Nephropathy, Type 1 Diabetes, Type 2 Diabetes, and Wilson Disease.
Hiddo Heerspink is in Groningen, Netherlands. Heerspink is rated as an Elite expert by MediFind in the treatment of Diabetic Nephropathy. They are also highly rated in 15 other conditions, according to our data. Their top areas of expertise are Diabetic Nephropathy, Type 2 Diabetes, Chronic Kidney Disease, and Osmotic Diuresis.
Many resources can help you understand more about diabetes. You can also learn ways to manage your kidney disease.
Diabetic kidney disease is a major cause of sickness and death in people with diabetes. It can lead to the need for dialysis or a kidney transplant.
Call your provider if you have diabetes and you have not had a urine test to check for protein.
Published Date : January 26, 2020
Published By : Brent Wisse, MD, board certified in Metabolism/Endocrinology, Seattle, WA. Internal review and update on 06/03/2021 by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
American Diabetes Association. 11. Microvascular Complications and Foot Care: Standards of Medical Care in Diabetes-2021. Diabetes Care. 2021 Jan;44(Suppl 1):S151-S167. PMID: 33298422 pubmed.ncbi.nlm.nih.gov/33298422/.
Brownlee M, Aiello LP, Sun JK, et al. Complications of diabetes mellitus. In: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020:chap 37.
Tong LL, Adler S, Wanner C. Prevention and treatment of diabetic kidney disease. In: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Comprehensive Clinical Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019:chap 31.