Diabetic nephropathy(DKD) is a kidney disease where persons kidney affected by diabetes (high blood sugar)where kidney start ‘leaking’ of protein called “albumin” in urine.
Usually diabetic nephropathy occurs in both types of diabetes type 1 and type 2 after 10 years onset of diabetes. It is rare occurs in first 10 years. If a person pass 30 or more years on diabetic if he not have any symptoms of diabetic nephropathy there is less chance of having “DKD”.
Diabetes is leading of cause of ESRD(end stage renal disease) means kidney failure. It occurs around 75% in type 1 diabetes patient after 20years onset of clinical diabetic nephropathy. ~20% in type 2 diabetes patient after 20years onset of clinical nephropathy this because in type 2 patient accidentally meet cardiovascular disease before they reach ESRD.
Causes: long standing diabetes or uncontroled diabetes which damage kidney nephrons filtering unit of kidneys.
Diagnosis: 24 hours urine protein or microalbumin test , serum creatinine, serum electrolyte,CT scan , Kidney biopsy(rare case).
Symptoms: symptoms usually occurs in late stage of 4 and 5.
1) increase in blood pressure
2)foamy urine or bubbles in urine
3)swelling around ankles, legs, eyes
4)itching
5)Decrease in urine output
6)loss or little appetite
7)sleeping problem
8)fatigue or weakness
9) protein loss in urine
10) anemia … etc..
Treatment: strict blood sugar control with help of anti-diabetic drugs , insulin . (HBA1C MUST UNDER 8%). Blood pressure control (MUST UNDER 130/80 hhmg), control protein loss , using of ACE or ARB’s habitors, control of potassium, phosphorous, Control lipids build HDL lipids. Protein free diet, Correct renal diet is very important in this ask your health provider for correct diet.
Conclusion: diabetic nephropathy is chronic disease it is life long. Good control of diabetes , blood pressure can slow down the progression of the disease early detection and treatment is the way to prevent progression and stop it . every diabetic patient should go for test of microalbumin and serum creatinie every after onset of diabetes.
SUGGESTION: ALSO TRY HOMEOPATHY AND ayurvedic.
knowledge is power 