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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 17 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 55 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 41 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.

Similar questions

A 21-year-old member asked:

How is diabetic kidney disease diagnosed?

2 doctor answers4 doctors weighed in
Dr. Susan Wingo
Endocrinology 34 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 19 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 12 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 21-year-old member asked:

What problems does diabetic kidney disease cause?

2 doctor answers5 doctors weighed in
Dr. Susan Wingo
Endocrinology 34 years experience
LowProtein/HighWaste: Protein loss into the urine can cause low protein levels in the blood, and lead to swelling in the feet and ankles late in the day, and around the face in the morning. High levels of waste products and potassium and low levels of calcium can cause fatigue, weakness, heart problems, bone problems, and sudden death. Dialysis is needed to correct these imbalances.
CA
A 31-year-old member asked:

What's the most effective way to treat diabetic kidney disease?

2 doctor answers7 doctors weighed in
Dr. Alvin Fried
Diabetology 65 years experience
Diabetes control: The best way to treat all the complications of diabetes is to control the diabetes as closely as possible. You should also be seen by a kidney specialist (nephrologist) to learn about diet and medication for that specific problem.

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Last updated Apr 14, 2014

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