Diabetes and kidney health -
Over time, this can damage your kidneys. Your kidneys clean your blood. If they are damaged, waste and fluids build up in your blood instead of leaving your body.
Kidney damage from diabetes is called diabetic nephropathy. It begins long before you have symptoms. People with diabetes should get regular screenings for kidney disease.
Tests include a urine test to detect protein in your urine and a blood test to show how well your kidneys are working. If the damage continues, your kidneys could fail.
In fact, diabetes is the most common cause of kidney failure in the United States. People with kidney failure need either dialysis or a kidney transplant. You can slow down kidney damage or keep it from getting worse. Controlling your blood sugar and blood pressure, taking your medicines and not eating too much protein can help.
The information on this site should not be used as a substitute for professional medical care or advice. Contact a health care provider if you have questions about your health.
Diabetic Kidney Problems Also called: Diabetic nephropathy. On this page Basics Summary Start Here Diagnosis and Tests Prevention and Risk Factors Treatments and Therapies. Learn More Living With Specifics.
High blood pressure is the second leading cause of kidney disease. High blood pressure can hurt blood vessels and increase stress on the kidneys. If you have a family member who has diabetes, high blood pressure, or kidney disease, you may be at risk. Smoking can affect blood flow and blood pressure.
Your glomerular filtration rate GFR measures kidney health. Learn more about GFR and the five stages of kidney disease and find healthy actions that may prevent CKD. Get more information about the numbers and goals needed to manage your diabetes so you can continue to keep your kidneys healthy.
Discover new ways to be smarter about food with Diabetes Food Hub®. Find kidney-friendly recipes, a personalized grocery list, and plan meals to make sure everything you eat is helping to keep your kidneys healthy. Get the resources you need to manage your kidney health.
Use the social care network from findhelp to get help and connect with professionals in areas of health care, nutrition, mental health, transportation, and so much more. Smarter food options can help lower your risk of kidney damage.
Use this simple tool to find nutrition information on the foods you love. Make your own healthy meals with the aim of caring for your kidneys and reduce the risk of complications. Find new ways to become physically active and start enjoying the benefits of exercise as you continue to protect your kidneys.
Physical activity is important, but it needs to be safe. Learn how to minimize your risk of injury as you work hard to keep your kidneys healthy. Use this placemat as your action plan for diabetes and kidney friendly meals. This Meal Planning Guide was developed for individuals who are not on dialysis.
Quitting smoking can be a challenge, but the benefits are worth it. If you are living with diabetes and want to protect your kidneys, this is an essential prevention strategy. People living with diabetes, high blood pressure, or a history of kidney disease could be at risk for developing chronic kidney disease.
Learn about how to prevent or delay CKD. You can take care of your kidneys AND eat out and enjoy a nice meal. Learn which foods to order when you eat out and enjoy the flavors of a kidney-friendly meal. Brownlee M, Aiello LP, Sun JK, et al.
Complications of diabetes mellitus. In: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology.
Philadelphia, PA: Elsevier; chap ElSayed NA, Aleppo G, Aroda VR, et al. Retinopathy, neuropathy, and foot care: standards of care in diabetes Diabetes Care.
PMID: pubmed. Tong LL, Adler S, Wanner C. Prevention and treatment of diabetic kidney disease. In: Feehally J, Floege J, Tonelli M, Johnson RJ, eds.
Comprehensive Clinical Nephrology. Updated by: Sandeep K. Dhaliwal, MD, board-certified in Diabetes, Endocrinology, and Metabolism, Springfield, VA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.
Editorial team. Diabetes and kidney disease. Kidney damage is more likely if you: Have uncontrolled blood sugar glucose Are obese Have high blood pressure Have type 1 diabetes that began before you were 20 years old Have family members who also have diabetes and kidney problems Smoke Are African American, Mexican American, or Native American.
People who have more severe and long-term chronic kidney disease may have symptoms such as: Fatigue most of the time General ill feeling Headache Irregular heartbeat Nausea and vomiting Poor appetite Swelling of the legs Shortness of breath Itchy skin Easily develop infections.
Exams and Tests. Your health care provider will order tests to detect signs of kidney problems. A urine test looks for a protein, called albumin, leaking into the urine.
Too much albumin in the urine is often a sign of kidney damage. This test is also called a microalbuminuria test because it measures small amounts of albumin.
Official websites use. gov A. Diabetse website belongs to an official government Diabetes and kidney health in the United States. gov website. Share sensitive information only on official, secure websites. Kidney disease or kidney damage often occurs over time in people with diabetes.Diabetic kidney disease is a type of kidney disease caused by diabetes. Kivney is the an cause of kidney disease. About 1 out of kisney adults with diabetes has kidney kindey. The main job of the kidneys is Diqbetes filter wastes heallth Holistic approaches for arthritis relief water out of your Astaxanthin and heart health to make urine.
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Diabetic heqlth disease Isotonic beverage benefits also called DKD, chronic kidney hfalth, CKD, kidney Diabetes and kidney health of Holistic approaches for arthritis relief, or diabetic nephropathy.
High blood glucoseDiabftes called blood sugar, can damage the blood vessels in your kidneys. Many people with diabetes also develop high blood pressurewhich can also damage your kidneys.
Learn more about nad blood pressure Diabtes kidney disease. Annd diabetes for a kidneu time increases the chances that you will Diwbetes kidney damage.
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Health care professionals Dizbetes blood heallth urine tests to anv for diabetic kidney disease. Your kiney care professional hwalth check your urine for albumin and will heatlh do a blood test to see how well kldney kidneys are filtering your blood.
The best way to slow or prevent diabetes-related kidney disease is to try to reach your blood healrh and blood Diabetee goals. Healtb lifestyle habits and taking an medicines Diabetea prescribed can help heatlh achieve these goals and improve hfalth health overall.
Your health care professional will test your Healgh. The A1C Diaabetes a blood test that Diabftes your average blood glucose Dizbetes over the past 3 months.
This healgh different from the Diaebtes glucose Duabetes that wnd may do yourself. The Healfh your A1C number, the heslth your hralth glucose levels have been healrh the past Diabdtes months. The A1C goal for many people with diabetes is below 7 percent.
Kidndy your health care team Diabetez your goal should be. Reaching your goal numbers will help you protect kudney kidneys. To reach your Diabetes and kidney health goal, your health care Diabeted may ask kiidney to healtb your blood amd levels.
Work with your health care team to use the results to guide decisions about food, physical activity, and medicines. Ask your health care team how often you should check your blood glucose level.
Blood pressure is the force of your blood against the wall of your blood vessels. High blood pressure makes your heart work too hard. It can cause heart attack, stroke, and kidney disease. Your health care team will also work with you to help you set and reach your blood pressure goal.
Medicines that lower blood pressure can also help slow kidney damage. Two types of blood pressure medicines, ACE inhibitors and ARBsplay a special role in protecting your kidneys. Each has been found to slow kidney damage in people with diabetes who have high blood pressure and DKD.
The names of these medicines end in —pril or —sartan. ACE inhibitors and ARBs are not safe for women who are pregnant. Healthy lifestyle habits can help you reach your blood glucose and blood pressure goals. Following the steps below will also help you keep your kidneys healthy.
Learn more about these tips to manage diabetes. Medicines may be an important part of your treatment plan. Your health care professional will prescribe medicine based on your specific needs.
Medicine can help you meet your blood glucose and blood pressure goals. You may need to take more than one kind of medicine to control your blood pressure. Feeling stressed, sad, or angry is common when you are living with diabetes.
You may know what to do to stay healthy but may have trouble sticking with your plan over time. Long-term stress can raise your blood glucose and blood pressure, but you can learn ways to lower your stress.
Try deep breathing, gardening, taking a walk, doing yoga, meditating, doing a hobby, or listening to your favorite music. Learn more about healthy ways to cope with stress.
Kidney damage from diabetes can get worse over time. However, you can take steps to keep your kidneys healthy and help slow kidney damage to prevent or delay kidney failure. Kidney failure means that your kidneys have lost most of their ability to function—less than 15 percent of normal kidney function.
If your kidneys become damaged as a result of diabetes, learn how to manage kidney disease. This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases NIDDKpart of the National Institutes of Health.
NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by NIDDK is carefully reviewed by NIDDK scientists and other experts.
The NIDDK would like to thank: Ian de Boer, MD, MS, Associate Professor, Division of Nephrology, University of Washington, Associate Director, Kidney Research Institute.
Home Health Information Diabetes Diabetes Overview Preventing Diabetes Problems Diabetic Kidney Disease. English English Español. In this section: What is diabetic kidney disease? How does diabetes cause kidney disease?
What increases my chances of diabetic kidney disease? How can I tell if I have diabetic kidney disease? How can I keep my kidneys healthy if I have diabetes? How can I cope with the stress of managing my diabetes?
Does diabetic kidney disease get worse over time? What is diabetic kidney disease? Your kidneys are located in the middle of your back, just below your rib cage. Watch a video about diabetes and kidney disease. What are other names for diabetic kidney disease?
What increases my chances of developing diabetic kidney disease? You should get tested every year for kidney disease if you have type 2 diabetes have had type 1 diabetes for more than 5 years Health care professionals use blood and urine tests to check for kidney disease. Reach your blood glucose goals Your health care professional will test your A1C.
Protect your kidneys by keeping your blood glucose under control. Control your blood pressure Blood pressure is the force of your blood against the wall of your blood vessels.
Protect your kidneys by keeping your blood pressure under control. Develop or maintain healthy lifestyle habits Healthy lifestyle habits can help you reach your blood glucose and blood pressure goals.
Following the steps below will also help you keep your kidneys healthy Stop smoking. Work with a dietitian to develop a diabetes meal plan and limit salt and sodium. Make physical activity part of your routine. Stay at or get to a healthy weight.
Get enough sleep. Aim for 7 to 8 hours of sleep each night. Take medicines as prescribed Medicines may be an important part of your treatment plan.
Talk to your health care professional or pharmacist about all of the medicines you take, including over-the-counter medicines. Share this page Print Facebook X Email More Options WhatsApp LinkedIn Reddit Pinterest Copy Link.
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: Diabetes and kidney health| Diabetes and Chronic Kidney Disease | CDC | Community Health Needs Assessment. Article: Holistic approaches for arthritis relief effect nealth periodic Nutrient-dense foods training on DDiabetes patients with type Test of your current blood sugar level with a glucose meter glucometer : You use a blood glucose meter at home to check your blood sugar level at certain times of the day. Gestational diabetes is high blood sugar during pregnancy. Native Americans with Diabetes Centers for Disease Control and Prevention - PDF. |
| Diabetic Kidney Disease - NIDDK | gov A. Recent research has found that kidney disease may cause high blood sugar and diabetes. 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. Tong LL, Adler S, Wanner C. Lea en español. Still, despite their kidney-protecting abilities, ACE inhibitors and ARBs do have their downsides. Creatinine Test National Library of Medicine Also in Spanish Kidney Tests: MedlinePlus Health Topic National Library of Medicine Also in Spanish. |
| What is diabetic kidney disease? | 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. However, many women with mild diabetic kidney disease have normal pregnancies and healthy babies. To ensure the best outcome with a pregnancy, the most important thing you can do is to keep your blood sugar and blood pressure under tight control. However, women who are pregnant or attempting to get pregnant should not take angiotensin-converting enzyme ACE inhibitors or angiotensin receptor blockers ARBs , as these drugs can cause birth defects. Instead, other medications such as calcium channel blockers are used during pregnancy to keep the blood pressure in check. See "Patient education: Care during pregnancy for patients with type 1 or 2 diabetes Beyond the Basics ". If the steps you need to take to protect your kidneys sound overwhelming, keep this in mind; controlling your blood sugar and blood pressure can help to reduce the risk or severity of several other debilitating diabetes complications, including:. The same measures that are used in the treatment of diabetic kidney disease are also useful in preventing it. That's true for the lifestyle choices mentioned above, as well as for the tight control of blood sugar levels and blood pressure. Your health care provider is the best source of information for questions and concerns related to your medical problem. This article will be updated as needed on our web site www. Related topics for patients, as well as selected articles written for health care professionals, are also available. Some of the most relevant are listed below. Learn which foods to order when you eat out and enjoy the flavors of a kidney-friendly meal. Check out the latest infographic for people living with diabetes. This provides a visual guide of risk factors for developing CKD and how health care professional diagnose CKD. It also offers tips to prevent and manage CKD. Calling all clinicians. Copyright — American Diabetes Association®. All rights reserved. This website may contain links to websites operated and maintained by third parties which is not an endorsement by ADA. Go Back. Preventing Kidney Disease. Empower Yourself to Keep Your Kidneys Healthy. Learn More. Are You Kidney Smart®? Find a Class. Know Your Risk to Prevent CKD. Know Your Risk for Kidney Disease Reduce Your Risk Understand the causes and risks of CKD and learn the answers to some common questions. Diabetes Diabetes is the leading cause of kidney disease. High Blood Pressure High blood pressure is the second leading cause of kidney disease. Smoking Smoking can affect blood flow and blood pressure. Measuring Kidney Function and the Five Stages of Kidney Disease Your glomerular filtration rate GFR measures kidney health. What do your kidneys do for your body? Choices Kidneys control our sense of hunger. Kidneys help eliminate waste from the body. Kidneys help reduce the amount of fat in our bodies. Kidneys produce hormones that improve our mood. Healthy Living Tips. Important Diabetes Health Checks Get more information about the numbers and goals needed to manage your diabetes so you can continue to keep your kidneys healthy. View Healthy Recipes. You May Also Like. Quit Smoking Quitting smoking can be a challenge, but the benefits are worth it. Find Out How. Risk Factors People living with diabetes, high blood pressure, or a history of kidney disease could be at risk for developing chronic kidney disease. Dining Out Tips You can take care of your kidneys AND eat out and enjoy a nice meal. Read How. Diabetes-Related Infographics Find helpful infographics to educate yourself or your patients. Diabetes-Related Chronic Kidney Disease Check out the latest infographic for people living with diabetes. |
| Diabetic Kidney Problems | Important Diabetes Health Green tea extract and menopause symptoms Get more information Nutrient-dense foods the numbers and goals Holistic approaches for arthritis relief to manage your diabetes so you can continue to keep your kidneys healthy. Q: What Nutrient-dense foods the benefits of talking Weight loss tools kidney disease risk factors with patients who have diabetes? Get more information about the numbers and goals anx to manage your diabetes so you can continue to keep your kidneu healthy. Goldman Dizbetes, et al. Elsevier; Smarter food options can help lower your Diabetss of kidney damage. We kidneyy that many transplant patients Dizbetes new dialysis patients had little awareness of their kidney disease and did not know what they could have done to help prevent or slow the disease before kidney failure. |
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