Dr. S. K Nagrani Diabetic nephropathy or diabetic kidney disease is a serious condition which is caused by type 1 or type 2 diabetes. According to a report, 40 percent of people who are suffering from diabetes eventually develop this kidney problem which is called diabetic nephropathy as it causes damage to the kidneys. The main functionality of kidneys is to remove the harmful wastes, toxins and extra fluid from the body and the person who is suffering from this condition can accumulate toxins or other fluids in the body. As per doctors, the best way to prevent this condition is to live a healthy life and treating symptoms of diabetes and high blood pressure. The damage of the kidneys usually occur over the years and if the condition is diagnosed at an early stage, there are chances to treat the disease and also reduces the risk of severe complications. Symptoms of Diabetic Nephropathy Some of the common symptoms of the condition are listed below: The blood pressure of the body will be on the higher side and it is quite hard to control it As the kidneys will be damaged, the protein which is required by the body starts to flow with the urine There will be swelling in different parts of the body including feet, ankles, hands and even the eyes There will be high accumulation of fluid in the body and increased urge to urinate frequently The change might occur in condition of diabetes in the body and there will be less need for insulin and other diabetes medication The person will not able to concentrate as there will be a sense of confusion in the person The digestion system of the body will also be affected and the person will have a loss of appetite There will be a sense of vomiting and nausea The condition will lead to itching in different parts of the body Fatigue Causes of Diabetic Nephropathy Our kidneys have millions of blood vessels which are used to filter waste from the flowing blood and that waste is carried out of the body with the help of urination system. Any damage caused to these vessels can cause the condition of diabetic nephropathy which can lead to decreased kidney function and eventually kidney failure. The main cause of the disease are type 1 and type 2 diabetes which increase the blood pressure of the body if left untreated for most of the time. The high blood pressure will increase the pressure in the filtering system of the kidneys which can cause severe damage to the overall functionality of them. Risk factors involved with the condition The person who is suffering from 1 or 2 type of diabetes, there are chances that s/he can develop the condition with time High sugar level in the body can also add to the cause of the problem High blood pressure is one of the main risk factors The person who is suffering from diabetes and also a smoker increases the chance of developing this disease High cholesterol level with the problem of diabetes Anyone in your family suffered or suffering from the condition also increases your chances of getting infected with the disease. Complications related to the disease There are a number of complications related to the disease, which is also dependent on the severity of the condition and some of the common complications includes: As the kidneys will not be able to take the waste out from the body, it can lead to the retention of the fluid which can also result in the swelling of legs and arms with a continuous increase in the blood pressure The level of potassium is also increased in the body which will way above the requirement Continuous pressure on the blood veins can lead to different heart diseases and can also cause astroke There are certain cases in which the blood pressure caused damage to the veins of theretina There are number of problems like foot sores, diarrhoea, and erectile dysfunction which may occur with time The condition can also cause damage to the foetus during pregnancy and delays the process of development The end stage of the condition decreases the main functionality of the kidneys which leads to either dialysis or kidney transplant for the survival Diagnosis of diabetic nephropathy Usually, your doctor will ask about the signs and symptoms of the complete medical history. The process will help them to understand the condition which is again followed by number of steps. Blood tests – The common test to know the status of your diabetes and how well your kidneys are working? Urine tests-It is also important to diagnose the sample of your urine as the presence of protein in it may indicate that your kidneys are affected with the disease. Renal function testing-The process is used to check the filtering capacity of the kidneys. Kidney biopsy – There are cases in which your doctor will recommend you to go through the biopsy as the surgeons will remove a sample of your kidney tissue. The sample will be sent for the observation to know the status and the condition of the organ. Treatment There are a number of options available for the treatment which is dependent on the condition and at what stage the disease has been diagnosed. Most of the times patients are recommended with certain medications which will control the blood pressure, blood sugar, cholesterol level, and protein in the urine. The process will require follow-up testing to check the recovery and how your organs are responding to the medications.
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