How many people with diabetic kidney disease develop total kidney failure?

20-40%: About 40% of type 1 diabetes patients with kidney disease will develop kidney failure within 20 years without strict blood pressure and glucose control. About 20% of type 2 diabetes patients with kidney disease will develop kidney failure within 20 years, but blood pressure control has seemed to be less effective in completely stopping progression in these patients.

Tough to say, depend: Diabetes viciousness varies from on person to another. Also, associated illnesses, and extent of their control, like hypertension etc are risks for worse prognosis. But, diabetic kidney disease is currently not curable and theoretically all cases will go to dialysis if live enough. Older persons with early disease have less risk of dialysis in their life time.Control diabetes to put off dialysis.