Diabetic Kidney Disease
Diabetic kidney disease, also known as diabetic nephropathy, is a condition where long-term high blood sugar levels begin to damage the filtering units of the kidneys. We commonly see this in patients with uncontrolled diabetes or those living with diabetes for many years. Early changes may go unnoticed, but over time it can lead to protein leakage in urine, swelling, rising creatinine levels, and eventually chronic kidney disease if not properly managed.
With regular monitoring, lifestyle modifications, and the right medications, we can slow or even prevent progression. Our focus is on maintaining stable blood sugar, protecting the kidneys with targeted therapies, and detecting early changes through routine tests so that patients can continue leading a healthy, active life.
Common Causes & Risk Factors
- Poorly controlled diabetes – High sugar levels gradually damage kidney filters.
- High blood pressure – Often seen along with diabetes and worsens kidney strain.
- Family history – Increases the risk of developing diabetic kidney issues.
- Smoking – Speeds up kidney and blood vessel damage.
- Obesity – Leads to insulin resistance and higher kidney workload.
- Long duration of diabetes – Risk increases after 5–10 years of illness.
Symptoms Patients Should Watch For
In the early stages there may be no symptoms, but as the disease progresses, patients may notice:
- Swelling in the feet, ankles, or around the eyes
- Foamy or bubbly urine (protein leakage)
- Fatigue or weakness
- Loss of appetite or nausea
- Frequent urination, especially at night
- Rising blood pressure
When Patients Should Seek Medical Advice
It is important to consult a specialist when:
- Urine tests show protein leakage (microalbumin or protein)
- Creatinine or urea levels begin to rise
- Blood sugar or blood pressure are difficult to control
- There is swelling, fatigue, or foamy urine
- Diabetes has been present for many years
- There is a family history of kidney disease
