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.