Diabetic kidney disease is a disease in which decline in kidney function due to long term of uncontrolled diabetes. It means that your kidneys are not doing their job to remove the fluids and waste products from the body. These waste substances are collected in body and effects the other body organ.
What cause it?
The causes of kidney damaging are complex and many factors are involved in this. Many experts feel that changes in circulation of kidney filter that is glomerulus may play an important role.
Are some people get more likely diabetic kidney disease?
Yes, there are many factors involve in this like high blood pressure, inheritance, high blood sugar level and diet. These factors increase the risk of developing diabetic kidney disease. \
I am diabetic. How do I know if my kidneys are effected?
There is no symptoms of diabetic kidney disease in early stage. As kidney function decline, patient feel sick and worse symptoms such as loss of appetite, nausea, having hiccups, unconsciousness and weight gain due to fluid retention. If patient with this symptoms left untreated, fluid may build up in lungs and heart failure.
How long does it take for the kidneys to become effected?
Almost all the patients of type 1 diabetes mellitus show some changes in kidney function within 2-5 years of diagnosis. About 30-40 % of patients may lead to chronic kidney disease within next 10-30 years.
If the sugar remain uncontrolled in type 2 diabetes mellitus for la long time, kidney will effect in same way as in type 1 DM.
Are there any tests that can be done to tell if I have diabetes?
Yes, diagnosis is based on presence of abnormal protein in urine. There are other tests which can be used for diagnosis such as serum creatinine and blood urea nitrogen ( BUN) but values of these test do not begin to change unless sever changes occur in kidney function. Other tests which are more sensitive and give information with minor changes in kidney functions are urine albumin, glomerulus filtration rate and creatinine clearance.
What can I do to prevent my kidneys?
There is an evidence that keeping your blood glucose level within normal range helps to prevent you from kidney damage. For this purpose, you should keep contact with doctor and follow their advices regarding diet and medicine.
If my kidneys already effected, Can I keep them from getting worse?
It might be possible that you can delay the progression of diabetic kidney disease. Since high blood pressure in patients who has diabetes is one of the major factor that predicts the diabetic kidney disease. If you have high blood pressure, take medicines regularly according to doctor prescription. Take low protein diet that will decrease the load on your kidneys and take diet of diabetes as doctor prescribed.
Are there any treatment that can help me?
Yes, some studies suggested that a group of medicine called ACE inhibitor may reduce the blood pressure. The reduced BP will reduce the pressure on kidney’s filters. As a result patient may have less proteins in urine.
If my kidney fail, what can I do?
If kidney fails, you can go for dialysis and kidney transplantation.
Dialysis are of two types hemodialysis and peritoneal dialysis. The decision which treatment is best decided by medical professional, lifestyle of patients and personal preferences.