Find here the overview of the Causes and Symptoms and treatment Information of Diabetic Kidney Disease. Damage to the filtering units of the kidneys that occurs in the people who have diabetes mellitus. Long term diabetes mellitus may result in damage to various organs in the body. Kidney damage caused by diabetes mellitus is known as diabetic kidney disease. The disorder develops in about 4 in 10 of the people who have had diabetes for over 15 years.
Diabetes mellitus affects small blood vessels in the glomeruli (the filtering units of the kidney). Damage to these vessels causes protein to leak into the urine and reduces the kidneys’ ability to remove wastes and excess water from the body. Symptoms do not usually appear until kidney damage is severe, and they may then include vomiting, drowsiness, and shortness of breath (chronic kidney failure). Many people with long term diabetes mellitus also have blood pressure (hypertension), which may cause further damage to the kidneys.
Treatment for Diabetic Kidney Disease
People who have diabetes mellitus are monitored regularly by their doctor so that complications such as kidney damage can be detected at an early stage. The doctor may look for the first signs of diabetic kidney disease by having your urine tested to detect protein, and blood tests may be done to check how well the kidneys are functioning. Once the condition has been diagnosed, the primary aim of treatment will be to slow the progression of the disease to kidney failure. In some cases, control of blood glucose levels and blood pressure can prevent kidney function from deteriorating. Drugs known as ACE inhibitors may also help counteract the progression of kidney damage in people with diabetes mellitus. However, kidney disease may still lead to damage. The outcome may be end-stage kidney failure, in which there is a complete loss of kidney function.
End-stage kidney failure due to diabetic kidney disease can usually be treated with dialysis or a kidney transplant. It is sometimes possible to combine a kidney transplant with a transplant of the pancreas, treating both kidney failure and diabetes mellitus at the same time. However, the surgery involved is complex and is only carried out in certain specialty centers.
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