Four ways to lower your blood pressure are: Even a mild rise in blood pressure can quickly make kidney disease worsen. Blood pressure has a dramatic effect on the rate at which the disease progresses. Important treatments for kidney disease are tight control of blood glucose and blood pressure. Other studies have suggested that tight control can reverse microalbuminuria. In people who already had microalbuminuria, the risk of progressing to macroalbuminuria was cut in half. Research has shown that tight blood glucose control reduces the risk of microalbuminuria by one third. How can I prevent it?ĭiabetic kidney disease can be prevented by keeping blood glucose in your target range. The doctor can check blood pressure, urine (for protein), blood (for waste products), and organs for other complications of diabetes. Other symptoms of kidney disease include loss of sleep, poor appetite, upset stomach, weakness, and difficulty concentrating. The first symptom of kidney disease is often fluid buildup. Also, the symptoms of kidney disease are not specific. The kidneys work hard to make up for the failing capillaries so kidney disease produces no symptoms until almost all function is gone. The better a person keeps diabetes and blood pressure under control, the lower the chance of getting kidney disease. Factors that can influence kidney disease development include genetics, blood glucose control, and blood pressure. Not everyone with diabetes develops kidney disease. A person with ESRD needs to have a kidney transplant or to have the blood filtered by machine (dialysis). Waste products then start to build up in the blood. In time, the stress of overwork causes the kidneys to lose their filtering ability. When kidney disease is caught later during macroalbuminuria, end-stage renal disease (ESRD) usually follows. Having larger amounts of protein in the urine is called macroalbuminuria. When kidney disease is diagnosed early, during microalbuminuria, several treatments may keep kidney disease from getting worse. Having small amounts of protein in the urine is called microalbuminuria. After many years, they start to leak and useful protein is lost in the urine. All this extra work is hard on the filters. High levels of blood glucose (blood sugar) make the kidneys filter too much blood. Useful substances, such as protein and red blood cells, are too big to pass through the holes in the filter and stay in the blood.ĭiabetes can damage this system. These waste products become part of the urine. As blood flows through the blood vessels, small molecules such as waste products squeeze through the holes. In the kidneys, millions of tiny blood vessels (capillaries) with even tinier holes in them act as filters. When our bodies digest the protein we eat, the process creates waste products.
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