Diabetic Kidney Disease
Understanding how diabetes affects your kidneys and how to prevent kidney damage
What is Diabetic Kidney Disease?
Diabetic kidney disease (diabetic nephropathy) is a complication of diabetes that affects the kidneys. Over time, high blood sugar levels damage the tiny blood vessels in the kidneys that filter waste from the blood. This damage can lead to chronic kidney disease and eventually kidney failure.
Diabetes is the leading cause of kidney disease worldwide. Approximately 1 in 3 adults with diabetes has kidney disease. Early detection and management can significantly slow or prevent kidney damage.
Get Screened Annually
If you have diabetes, you should get tested for kidney disease every year. Two simple tests can detect kidney damage:
Urine Albumin Test
Checks for protein in urine (early sign of kidney damage)
eGFR Blood Test
Measures how well kidneys are filtering blood
Progression & Management
GFR: > 90
Normal
GFR: > 60
Microalbuminuria
GFR: 30-59
Macroalbuminuria
GFR: < 30
Any
Treatment Options
Blood Sugar Control
HbA1c target < 7%. Use insulin or oral medications as prescribed.
Blood Pressure Control
ACE inhibitors or ARBs to reduce proteinuria and protect kidneys.
SGLT2 Inhibitors
New class of diabetes drugs (Empagliflozin, Dapagliflozin) that protect kidneys.
Diet Management
Low sodium, controlled protein, and blood sugar-friendly diet.
Lipid Management
Statins if needed for cholesterol control.
Dialysis/Transplant
When CKD progresses to end-stage, renal replacement therapy may be needed.
Prevention Strategies
Consult Dr. Rajesh Goel
Expert in diabetic kidney disease management and prevention