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What is diabetic nephropathy?
Diabetes can affect many parts of the body, including the kidneys. In healthy kidneys, many tiny blood vessels filter waste products from your body. The blood vessels have holes that are big enough to allow tiny waste products to pass through into the urine but are still small enough to keep useful products (such as protein and red blood cells) in the blood.
High levels of sugar in the blood can damage these vessels if diabetes is not controlled. This can cause kidney disease, which is also called nephropathy (say: nef-rah-puh-thee). If the damage is bad enough, your kidneys could stop working.
What are the symptoms of diabetic nephropathy?
Diabetic nephropathy does not usually cause any symptoms until kidney damage is severe. As the condition progresses, symptoms can include the following:
- Swelling of the feet and ankles
- Loss of appetite
- Upset stomach
- Insomnia and difficulty sleeping
- Confusion and trouble concentrating
DIAGNOSIS & TESTS
How is diabetic nephropathy diagnosed?
Your healthcare provider will test your urine for protein. If there is protein in your urine, this could mean that your diabetes has damaged the holes in the blood vessels of your kidneys. This makes the holes big enough for protein and other nutrients your body needs to leak into your urine. Your healthcare provider may also want to do a blood test to see how much damage has been done to the kidneys.
What can I do to slow down the damage?
The following are some of the most important things you can do to protect your kidneys:
- Keep your blood pressure lower than 130 over 80. High blood pressure can speed up damage to the kidneys. Your healthcare provider may give you medicine to help lower your blood pressure.
- Control your blood sugar level. You should take your diabetes medicines and/or insulin exactly as your healthcare provider prescribes.
- Stick to a healthy diet. People who have diabetic nephropathy may need to eat less protein.
- Be physically active every day.
- Stop smoking.
- Check with your healthcare provider before taking any new medicines. This includes vitamins, herbal medicines and over-the-counter medicines.
What happens if my kidneys stop working?
Even with the right treatments, diabetic nephropathy can get worse over time. Your kidneys could stop working. This is called kidney failure. If this happens, waste products build up in your body. This can cause nausea, vomiting, weakness, shortness of breath and confusion. In severe cases, kidney failure can cause seizures and coma.
If you have kidney failure, your healthcare provider will refer you for dialysis (say: die-al-uh-sis). In dialysis, a machine is used to take waste products out of the blood. One kind of dialysis has to be done in a clinic. For another kind of dialysis, the machine is so small it can be strapped to your body while you go about your daily activities. If you develop kidney failure, your healthcare provider will help you decide which type of dialysis machine is right for you.
QUESTIONS TO ASK YOUR HEALTHCARE PROVIDER
- I have diabetic nephropathy. Could my kidneys fail?
- Will I need dialysis for my kidneys?
- Are there any medicines that I shouldn’t take?
- Could herbal supplements be dangerous for me?
- What is the best thing I can to prevent further damage to my kidneys?
- Are there any medicines that I can take to help prevent damage to my kidneys?
FOR MORE INFORMATION
Nova Scotia and PEI Toll Free: 1-800-326-7712
Nova Scotia Government website at:
PEI Government Website
Health Canada website at:
Diabetic Nephropathy: Common Questions by Micah L. Thorp, D.O., M.P.H. (06/01/05, http://www.aafp.org/afp/20050701/96.html )