Diabetic Kidney Disease (DKD) is a common complication of diabetes, characterized by gradual damage to the kidneys due to high blood sugar levels over time. It affects a significant number of individuals with diabetes, especially those with poorly controlled blood glucose levels. Early detection and management are essential to slow disease progression and maintain kidney function.
The primary cause of DKD is the damage that prolonged high blood sugar inflicts on the blood vessels in the kidneys, impairing their ability to filter waste effectively. Risk factors include the duration of diabetes, high blood pressure, and a family history of kidney disease. Monitoring kidney function through regular blood tests, such as serum creatinine and urine tests for protein, is crucial for early diagnosis.
Symptoms of diabetic kidney disease may not be apparent in the early stages, making routine screenings vital. As the condition progresses, patients may experience fatigue, swelling in the legs and ankles, changes in urination patterns, and high blood pressure. In advanced stages, complications like kidney failure may occur, requiring dialysis or transplantation.
Management of DKD focuses on controlling blood sugar levels and blood pressure to prevent further kidney damage. This includes lifestyle modifications, such as a balanced diet low in sodium and protein, regular physical activity, and maintaining a healthy weight. Medications, such as ACE inhibitors or angiotensin receptor blockers, may be prescribed to protect kidney function. Regular follow-up with healthcare professionals is essential for monitoring kidney health and making necessary adjustments to the treatment plan.