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Diabetic nephropathy lifestyle changes

Diabetic nephropathy lifestyle changes

See "Patient lifeetyle Dialysis or kidney transplantation — which Diabetic nephropathy lifestyle changes right for me? If left untreated, patients can also develop heart failure and fluid in their lungs. Diabetes Care. These changes lead to albuminuria, decreased glomerular filtration, or both.

Diabetic nephropathy lifestyle changes -

It is important to take steps to protect your kidneys before the problem advances. Information about advanced kidney disease is also available.

See "Patient education: Chronic kidney disease Beyond the Basics ". In some cases, diabetic kidney disease can eventually cause the kidneys to stop working altogether. If that happens to you, you will need to have a kidney transplant or dialysis, a procedure that filters the blood artificially several times a week.

Also, if your kidneys are diseased, your risk of heart attacks and heart failure could be higher. See "Patient education: Dialysis or kidney transplantation — which is right for me? Beyond the Basics ". DIABETIC KIDNEY DISEASE SYMPTOMS. Diabetic kidney disease commonly causes no symptoms until at least 80 percent of your kidneys' function is lost.

To detect diabetic kidney disease, health care providers rely on tests that measure protein albumin levels in the urine and blood tests to evaluate the level of kidney function. When the kidneys are working normally, they prevent albumin from leaking into the urine, so finding albumin in the urine is a sign that the kidneys are in trouble.

Often people who have diabetic kidney disease also have high blood pressure. DIABETIC KIDNEY DISEASE RISK FACTORS. Having a family history of kidney disease or belonging to certain ethnic groups eg, African American, Mexican, Pima Indian can increase your risk of diabetic kidney disease.

Although you cannot do anything to change your family history, there are several factors that increase your risk of developing diabetic kidney disease that you can change and control. These include:. DIABETIC KIDNEY DISEASE DIAGNOSIS. Urine tests are recommended once per year in people with type 1 diabetes, beginning about five years after diagnosis, and in people with type 2 diabetes, starting at the time of diagnosis.

The urine test is looking for a protein called albumin. If there is a very large amount of albumin in your urine, it means you have diabetic kidney disease.

You may be told that you have "microalbuminuria" or "high albuminuria". That simply means that you have trace amounts of albumin in your urine, but it still means that you are at risk for getting diabetic kidney disease, assuming you do not have kidney disease caused by another condition.

See "Patient education: Protein in the urine proteinuria Beyond the Basics ". The same urine test that is used to diagnose diabetic kidney disease will also be used to monitor your condition over time.

See 'Ongoing monitoring' below. The key complication of diabetic kidney disease is more advanced kidney disease, called chronic kidney disease.

Chronic kidney disease can, in turn, progress even further, eventually leading to total kidney failure and the need for dialysis or kidney transplantation. DIABETIC KIDNEY DISEASE TREATMENT. People with diabetes often focus on keeping their blood sugar levels in the right ranges. And while it is important to control blood sugar, it turns out that controlling blood pressure is at least as important.

That's because high blood sugar and high blood pressure work in concert to damage the blood vessels and organ systems. For these reasons, the most important things you can do to stall kidney disease and protect against other diabetes complications are to:.

Most people with type 2 diabetes and kidney disease should be treated with a sodium-glucose co-transporter 2 SGLT2 inhibitor. See 'SGLT2 inhibitors' below. Lifestyle changes — Changing your lifestyle can have a big impact on the health of your kidneys.

The following measures are recommended for everyone, but are especially important if you have diabetic kidney disease:. Blood sugar control — Keeping blood sugars close to normal can help prevent the long-term complications of diabetes mellitus.

See "Patient education: Glucose monitoring in diabetes Beyond the Basics ". A blood test called A1C is also used to monitor blood sugar levels; the result provides an average of blood sugar levels over the last one to three months.

Even small decreases in the A1C lower the risk of diabetes-related complications to some degree. Managing your blood sugar involves lifestyle changes eg, diet and exercise as well as medications.

Type 1 diabetes is treated with insulin. For type 2 diabetes, other medications are often used; some are not recommended for use in people with kidney problems, while others may help slow the progression of kidney disease. Your doctors will work with you to determine what combination of medications is best for you.

Managing high blood pressure — Many people with diabetes have hypertension high blood pressure. Although high blood pressure causes few symptoms, it has two negative effects: it stresses the cardiovascular system and speeds the development of diabetic complications of the kidney and eye.

A health care provider can diagnose high blood pressure by measuring blood pressure on a regular basis. See "Patient education: High blood pressure in adults Beyond the Basics ".

The treatment of high blood pressure varies. If you have mild hypertension, your health care provider may recommend weight loss, exercise, decreasing the amount of salt in the diet, quitting smoking, and decreasing alcohol intake. These measures can sometimes reduce blood pressure to normal.

See "Patient education: High blood pressure, diet, and weight Beyond the Basics ". If these measures are not effective or your blood pressure needs to be lowered quickly, your provider will likely recommend one of several high blood pressure medications.

Your provider can discuss the pros and cons of each medication and the goals of treatment. See "Patient education: High blood pressure treatment in adults Beyond the Basics ".

Blood pressure medications — All people with diabetic kidney disease need at least one medication to lower their blood pressure, and in most cases two medications are needed. Several medications can be used for this purpose, but a medication known as an angiotensin-converting enzyme inhibitor abbreviated ACE inhibitor or a related drug known as an angiotensin receptor blocker ARB should be used because they limit the worsening of kidney disease.

ACE inhibitors and ARBs are particularly useful for people with diabetic kidney disease because they decrease the amount of albumin in the urine and can prevent or slow the progression of diabetes-related kidney disease.

In fact, the kidney benefits of ACE inhibitors and ARBs are so robust that health care providers sometimes prescribe them for people with diabetic kidney disease who have normal blood pressure.

Still, despite their kidney-protecting abilities, ACE inhibitors and ARBs do have their downsides. For instance, ACE inhibitors cause a persistent dry cough in 5 to 20 percent of the people who take them, even up to 50 percent among Asian populations.

Some people get used to the cough; others find it so disruptive that they cannot continue taking an ACE inhibitor. For them, ARBs are often a good alternative, because ARBs do not cause a cough. In rare cases, you can have more serious side effects with ACE inhibitors and ARBs.

These include a condition called hyperkalemia, in which too much potassium accumulates in the blood. To monitor for these and other side effects, health care providers sometimes run blood tests soon after starting these drugs.

In some people, the medications will need to be stopped. SGLT2 inhibitors — In addition to the measures described above, some people with type 2 diabetes and kidney disease will get a medication called a sodium-glucose co-transporter 2 SGLT2 inhibitor. These medications lower blood sugar by increasing the excretion of sugar in the urine; they include canagliflozin brand name: Invokana , empagliflozin brand name: Jardiance , and dapagliflozin brand name: Farxiga.

Your health care provider can talk to you about whether you are a candidate for treatment with an SGLT2 inhibitor if you do not already take one ; this will depend on how advanced your kidney disease is and how much albumin is in your urine. Ongoing monitoring — After beginning treatment and lifestyle changes to stall kidney disease, you will need to have repeat urine and blood tests to determine if urine albumin levels have improved.

If the urine albumin levels have not improved or your kidney function has worsened, your health care provider may need to adjust your medications or recommend other strategies to protect your kidneys. PREGNANCY AND DIABETIC KIDNEY DISEASE. If you have diabetes and are interested in getting pregnant, it is important to talk with your health care provider well in advance, especially if you have diabetic kidney disease.

Diabetes and its attendant problems can increase the risk of complications in pregnancy, especially in women with decreased kidney function. Making certain lifestyle adjustments can have a positive impact on diabetic kidney disease management.

This includes:. When managing diabetic kidney disease, it is crucial to involve a nephrologist, a specialist in kidney health. If you have been diagnosed with diabetes and suspect or have been previously diagnosed with diabetic kidney disease , a nephrologist can:.

Visit a nephrologist if you notice a decline in kidney function, such as:. They can assess the extent of kidney damage and recommend appropriate interventions to slow down disease progression.

If you have diabetes and struggle to manage your blood pressure effectively, consulting a nephrologist is beneficial. They specialize in managing hypertension associated with kidney diseases and can provide targeted treatment plans to control blood pressure and protect kidney function. If diabetic kidney disease has progressed to advanced stages or end-stage renal disease, a nephrologist can discuss treatment options such as:.

Do you have multiple health conditions alongside diabetic kidney disease , such as heart disease or other complications? A nephrologist can work collaboratively with other specialists to ensure comprehensive and coordinated care. Nephrologists can provide valuable education and guidance regarding lifestyle modifications, dietary restrictions, and medication management specific to diabetic kidney disease.

They can empower you with knowledge and resources to actively participate in your own kidney health management. Early detection and intervention are key to effectively managing diabetic kidney disease. If you have diabetes, work closely with your healthcare team to develop a personalized prevention and management strategy that suits your specific needs.

Together, you can reduce the risk of diabetic kidney disease and maintain optimal kidney health. Are you searching for the best nephrologist near you? If so, look no further than the healthcare providers at Associates in Nephrology.

With us, you can rest assured you will receive nothing short of the best care. Call us today at for any questions or concerns.

You can also book an appointment with our secure online request form. Our kidney care specialist s at Associates in Nephrology specialized training and experience needed to diagnose and treat kidney conditions such as Chronic Kidney Disease , Electrolyte Disorders , End-Stage Kidney Disease, Glomerulonephritis, Hypertension, Kidney Stones, Kidney Transplant , and Renal Failure.

Contact us at or request an appointment online to visit our kidney centers. Skip to main content Skip to primary sidebar Skip to footer.

Submit an online request instead. Learn More. PATIENT EDUCATION Discover more in our interactive patient library.

Diabetic nephropathy is lifstyle Diabetic nephropathy lifestyle changes kidney disease that Diabetic nephropathy lifestyle changes affect people with diabetes. Lifestgle nephropathy is a kind Waist Circumference chronic kidney disease Diqbetic. The kidneys help Energy balance and weight plateau the levels kifestyle fluids and salts in the body, which is vital for controlling blood pressure and protecting cardiovascular health. When a person has diabeteswhether type 1, type 2, or gestational diabetes, their body cannot use or produce insulin as it should. Gestational diabetes occurs during pregnancy and may increase the risk of type 2 diabetes later in life. Cganges nephropathy is lifestylf type of Diabetic nephropathy lifestyle changes kidney disease that Diaabetic occur in people who have diabetes. Diabetic nephropathy lifestyle changes affects people with type 1 and Regulating blood glucose 2 diabetes, and risk increases with the duration of the disease and other risk factors like high blood pressure and a family history of kidney disease. Diabetes is also the most common cause of end-stage renal disease ESRD. ESRD is the fifth and final stage of diabetic nephropathy. Diabetic nephropathy progresses slowly. Diabetic nephropathy lifestyle changes

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