Diabetic nephropathy. Know the Symptoms and Complications

Diabetic nephropathy is a serious complication of type 1 and type 2 diabetes, also known as diabetic kidney disease. Diabetic nephropathy affects the ability of the kidneys to perform their normal functions by removing waste and extra fluids from the body. The best way preventing or delaying Diabetic nephropathy involves maintaining a healthy lifestyle and proper treatment of diabetes and high blood pressure, according to the Mayoclinic website

Over the years, the disease slowly damages the microfiltration system of the kidneys. Early treatment can prevent or slow disease progression and reduce the risk of complications. Kidney disease can progress to kidney failure, called end-stage renal disease. Kidney failure is a life-threatening condition. Treatment options at this stage include dialysis or a kidney transplant.


In the early stages of diabetic nephropathy, you probably won’t notice any signs or symptoms, but in later stages, signs and symptoms may include the following:

Not controlling blood pressure

The presence of protein in the urine.

Swelling of the feet, ankles, hands or eyes.

An increased need to urinate.

The need for insulin or diabetes medication is reduced.

Confusion or difficulty concentrating.

shortness of breath


Nausea and vomiting

constant itching


Diabetic nephropathy is a common complication of type 1 and type 2 diabetes. Over time, uncontrolled diabetes can damage the clusters of blood vessels in your kidneys, which filter waste from your blood, which can damage your kidneys and lead to high blood pressure. high blood pressure causes kidney damage by increasing the pressure in the microfiltration system inside the kidneys.

risk factors

If you have diabetes, factors that may increase your risk of diabetic nephropathy include:

Uncontrolled high blood sugar (hyperglycemia)

Uncontrolled high blood pressure (hypertension)

be a smoker

High blood cholesterol


Have a family history of diabetes and kidney disease


Complications of diabetic nephropathy can develop gradually over months or years. It may include:

Water retention, which can lead to swelling of the arms or legs, high blood pressure, or fluid buildup in the lungs (pulmonary oedema)

High level of potassium in the blood (hyperkalemia)

Cardiovascular disease (cardiovascular disease) which can cause a stroke

Damage to blood vessels in the light-sensitive tissues at the back of the eye (diabetic retinopathy)

Low number of red blood cells that carry oxygen (anemia)

Foot ulcers, erectile dysfunction, diarrhea and other problems related to nerve and vascular damage

Bone and mineral disorders due to the kidneys’ inability to maintain the proper balance of calcium and phosphorus in the blood

Pregnancy complications that threaten the life of the mother and the fetus

Irreversible kidney damage (end-stage kidney failure), which usually requires dialysis or a kidney transplant to survive


Follow these tips to reduce the risk of diabetic kidney disease:

Keep regular diabetes appointments Keep to annual appointments—or close appointments if recommended by your healthcare team—to monitor your diabetes management and monitoring for diabetic kidney disease and other complications.

Diabetes Treatment With effective diabetes treatment, you can prevent or delay diabetic nephropathy.

Treatment of high blood pressure or other medical conditions If you have high blood pressure or any other condition that increases the risk of kidney disease, see your doctor to get it controlled.

Follow the directions for over-the-counter medications. Follow package directions for over-the-counter pain relievers like aspirin and nonsteroidal anti-inflammatory drugs like naproxen (Raised) and ibuprofen (advil AndMotrin IB and others). People with diabetic kidney disease taking these types of painkillers can damage the kidneys.

Maintain a healthy weight If you are at a healthy weight, make sure to maintain it by being physically active most days of the week. And if you need to lose weight, talk to your doctor about weight loss strategies, such as daily physical activity and calorie reduction.

Abstain from smoking Cigarettes can damage your kidneys, and if they are damaged, it will make them worse. If you smoke, talk to your doctor about smoking cessation strategies. Support groups, counseling and certain medications can help you quit smoking.

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