How is diabetic kidney disease treated?

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.
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.
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.

Related Questions

What exactly is diabetic kidney disease?

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.
Diabetes and kidneys. Diabetic kidney disease (dkd) is the leading cause of end stage renal disease in the us. It is caused by high sugar in the blood doing damage to the kidney. The earliest sign of dkd is proteinuria. As they lose function due to dkd, they cannot eliminate fluid and waste products well so they accumulate. Control of blood sugar and hypertension are important in preventing dkd. Se a nephrologist.

How is diabetic kidney disease diagnosed?

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.

What are the signs of diabetic kidney disease?

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.
Don't wait. For signs. If you do not have any problems now make sure your doctor checks your microalbumen/creatinine ratio in a spot urine. Also have him/her start you on an ace or arb.

What problems does diabetic kidney disease cause?

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.
Kidney disease. High blood pressure, protein in urine, ultimately renal failure leading to dialysis and eventually death.

What are the symptoms of diabetic kidney disease?

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.

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

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.
A1c, BP, take meds. In short, keep your A1c close to 6.5%, your blood pressure under 130/80, and make sure you are taking a blood pressure medication in the ace inhibitor or arb class.

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

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!
Kidney failure. The ultimate "consequence" of diabetic kidney disease is kidney failure and possibility of dialysis or kidney transplant. At this stage, best we can do is help the child control his/her risk factors which is to keep as normal blood sugar, blood pressure and cholesterol as possible. Keep close contact with his/her physician.