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A 21-year-old member asked:

How is diabetic kidney disease treated?

3 doctor answers7 doctors weighed in
Dr. Shabbir Hossain
Internal Medicine 16 years experience
Several ways: The simple answer is, control your diabetes and control your blood pressure. In terms of blood pressure this usually involves a type of medicine called ace inhibitors.
Dr. David Geffner
Endocrinology 54 years experience
Variously: Prevention using an acei or arb and good blood sugar control. For established disease it depends on how badly it has progressed. It is the #1 cause of the need for dialysis and transplantation for chronic kidney disease in the us.
Dr. Tarek Naguib
Nephrology and Dialysis 40 years experience
Control blood sugar: It is most important to control diabetes and blood pressure and cholesterol and also to avoid things that make kidneys deteriorate like prostate enlargement and some medications. Ace inhibitors used cautiously as tolerated may extend kidney life span.

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A 39-year-old member asked:

What are the symptoms of diabetic kidney disease?

1 doctor answer3 doctors weighed in
Dr. Rajesh Boorgu
Nephrology and Dialysis 27 years experience
Swelling: Diabetic kidney disease is a form of chronic kidney disease. In the United States it is the most common cause of kidney failure. Typical symptoms include swelling of the feet, decreased urinary output, poor appetite, nausea.
A 21-year-old member asked:

How is diabetic kidney disease diagnosed?

2 doctor answers4 doctors weighed in
Dr. Susan Wingo
Endocrinology 33 years experience
Lab tests: Urine should be checked for protein once a year with a test for microscopic levels of Albumin (often called micro-albumin). Blood should be checked for BUN (blood urea nitrogen) to measure the levels of nitrogen-containing waste levels. Higher levels mean the kidney is not as efficient as it should be. A calculated value called egfr reflects the kidneys' ability to remove waste products.
A 21-year-old member asked:

What are the signs of diabetic kidney disease?

2 doctor answers8 doctors weighed in
Dr. Damien Luviano
Ophthalmology 18 years experience
None: Diabetes can hurt the kidneys and not be detectable on urine or blood test. In fact, studies have been done on diabetes patients who have normal kidney test, yet biopsies of these patients show damage. Diabetic retinopathy correlates with diabetic nephropathy. Studies have shown ace inhibitors to be protective of kidneys on both normotensive and hypertensive patients.
CA
A 33-year-old member asked:

What exactly is diabetic kidney disease?

2 doctor answers4 doctors weighed in
Dr. Raj Singh
Internal Medicine 11 years experience
Protein in urine: Diabetes affects kidneys in several ways, causes leakage of protein especially Albumin in the urine and causes reduction in the filtration rate of the kidneys. Over time the kidney becomes more scarred and BP becomes difficult to control. Diabetes is the most common cause of kidney disease requiring dialysis and transplantation. Regular follow with your primary care physician is important.
A 53-year-old member asked:

What are the consequences of diabetic kidney disease in a child?

2 doctor answers4 doctors weighed in
Dr. Tarek Naguib
Nephrology and Dialysis 40 years experience
Unfortunately: No treatment can take diabetes out of the kidneys. This is a work in ongoing presearch in research. The kidneys are destined to fail in several years. Control of diabetes, BP & ace inhibitors as tolerated is the only treatment to delay dialysis. The only good thing about kidney failure here is becoming eligible for dual transplant, kidney & pancreas, which cures both kidney failure & diabetes too!

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Last updated Apr 14, 2014
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