7 doctors weighed in:

I have diabetes. How do I know if my kidneys are affected?

7 doctors weighed in
Emily Lu
Family Medicine
2 doctors agree

In brief: Urine test

Kidney disease generally progresses over several years without any symptoms.
Your doctor should be able to measure the levels of a protein called Albumin in your urine. Albumin levels should be monitored yearly in diabetic patients to monitor kidney function.

In brief: Urine test

Kidney disease generally progresses over several years without any symptoms.
Your doctor should be able to measure the levels of a protein called Albumin in your urine. Albumin levels should be monitored yearly in diabetic patients to monitor kidney function.
Emily Lu
Emily Lu
Answer assisted by Emily Lu, Medical Student
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1 comment
Dr. Lea Danielsen
AT first diabetic kidney disease is very slow. Starts with microalbumin, tiny amounts of a protein called albumin in the urine. Then there is more protein, and eventually the creatinine in the blood rises. It progresses rapidly after the creatinine rises so important to keep blood sugar and blood pressure under as good a control as possible. It prevents or later stages slows down kidney disease
Dr. Susan Wingo
Internal Medicine - Endocrinology
1 doctor agrees

In brief: Lab Tests

Blood tests for nitrogen containing waste products like BUN and creatinine are useful, and allow the calculation of estimated filtration rate (egfr) to check the efficiency of the kidneys.
However, screening for protein in the urine with a sensitive test called microalbumin picks up damage from diabetes even earlier.

In brief: Lab Tests

Blood tests for nitrogen containing waste products like BUN and creatinine are useful, and allow the calculation of estimated filtration rate (egfr) to check the efficiency of the kidneys.
However, screening for protein in the urine with a sensitive test called microalbumin picks up damage from diabetes even earlier.
Dr. Susan Wingo
Dr. Susan Wingo
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Dr. Vasudha Kaushik
Family Medicine

In brief: Urine and blood labs

some tests used to check kidneys' health in diabetes are: 1.
urine microalbumin/creatinine ratio 2. GFR 3. Creatinine Maintaining a very low carb lifestyle helps to halt and sometimes even revert the kidney changes of diabetes.

In brief: Urine and blood labs

some tests used to check kidneys' health in diabetes are: 1.
urine microalbumin/creatinine ratio 2. GFR 3. Creatinine Maintaining a very low carb lifestyle helps to halt and sometimes even revert the kidney changes of diabetes.
Dr. Vasudha Kaushik
Dr. Vasudha Kaushik
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Dr. Thomas Heston
Family Medicine

In brief: Lab tests

You need to have regular lab tests to check your kidney function.
The urine is checked for protein and blood tests are used to estimate the glomerular filtration rate, a measure of kidney function. Previously used nuclear medicine tests are now extremely rare. Usually, people cannot feel an early decline in kidney function, so lab tests are essential.

In brief: Lab tests

You need to have regular lab tests to check your kidney function.
The urine is checked for protein and blood tests are used to estimate the glomerular filtration rate, a measure of kidney function. Previously used nuclear medicine tests are now extremely rare. Usually, people cannot feel an early decline in kidney function, so lab tests are essential.
Dr. Thomas Heston
Dr. Thomas Heston
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