Diabetic Nephropathy

Diabetic nephropathy (DN), also known as diabetic kidney disease, is the chronic loss of kidney function occurring in those with diabetes mellitus. Diabetic nephropathy is one of the leading causes of chronic kidney disease (CKD) and end-stage renal disease (ESRD) globally.

The basis for the prevention of diabetic nephropathy is the treatment of its known risk factors: hypertension, hyperglycemia, smoking, and dyslipidemia.
  • Symptoms
  • High blood pressure

    or High blood pressure disease

    • Resistant

    or Enlarged feet or ankle

    or High levels of fats in blood

    or Urine with bubbles unrelated to speed of urination or bladder fullness

    or Chest discomfort

    • Occurs or worsens with exertion, Occurs or worsens with emotions, Occurs or worsens with exposure to cold

    • Change in body position doesn't change the pain

    • Center of the chest, Left side

    or Numbness or tingling in legs, feet, or buttocks

    or History of coronary artery disease


  • Risk factors
  • Diabetes mellitus

    • Type 1, Type 2

    Diabetic retinopathy

  • Treatment
  • The first step in treating diabetic nephropathy is to treat and control your diabetes and, if needed, high blood pressure (hypertension). With good management of your blood sugar and hypertension, you can prevent or delay kidney dysfunction and other complications. In the early stages of the disease, your treatment plan may include various medications, such as those that help to: 1-Control high blood pressure. 2-Manage high blood sugar. 3-Lower high cholesterol. 4-Control protein in urine: medications can often reduce the level of the protein albumin in the urine and improve kidney function. Treatment options for advanced diabetic kidney disease: 1-Kidney dialysis. 2-Transplant. Lifestyle behaviors can support your treatment goals. Depending on your situation, kidney function and overall health, these actions may include: 1-Being active most days of the week and maintaining a healthy weight. 2-Adjusting your diet: limiting sodium is in your diet, choosing lower potassium foods and limiting the amount of protein you eat. 3-Quitting smoking.
  • Recommended specialist
  • If you have Diabetic Nephropathy, then a visit to a nephrologist is highly recommended.

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