Diabetic nephropathy is a serious complication of type 1 diabetes and types 2 diabetes. It’s also called diabetic kidney disease. In the United States, about 1 in 3 people living with diabetes have diabetic nephropathy.
Diabetic nephropathy affects the kidneys’ ability to do their usual work of removing waste products and extra fluid from your body. The best way to prevent or delay diabetic nephropathy is by maintaining a healthy lifestyle and adequately managing your diabetes and high blood pressure.
Over many years, the condition slowly damages your kidneys’ delicate filtering system. Early treatment may prevent or slow the disease’s progress and reduce the chance of complications.
Kidney disease may progress to kidney failure, also called end-stage kidney disease. Kidney failure is a life-threatening condition. At this stage, treatment options are dialysis or a kidney transplant.
What Are the Symptoms of Diabetic Nephropathy?
There are often no symptoms with early diabetic nephropathy. As the kidney function worsens, symptoms may include:
Swelling of the hands, feet, and face
Trouble sleeping or concentrating
Itching (end-stage kidney disease) and extremely dry skin
Drowsiness (end-stage kidney disease)
Abnormalities in the heart’s regular rhythm, because of increased potassium in the blood
As kidney damage progresses, your kidneys cannot remove the waste from your blood. The waste then builds up in your body and can reach poisonous levels, a condition known as uremia. People with uremia are often confused and occasionally become comatose.
Diabetic nephropathy is a reliable cause of chronic kidney disease and end-stage renal disease (ESRD). In ESRD, the kidneys no longer work well to meet the needs of daily life. ESRD can lead to kidney failure, which can have life-threatening consequences. Our CKS Nephrologists will work with our patients and their families to develop a comprehensive treatment plan that includes dietary counseling, exercise, and medication to improve blood sugar control.
How is diabetic nephropathy treated?
In the early stages of diabetic nephropathy, your treatment plan may include medications to manage the following: Blood pressure control.Medications called angiotensin-converting enzyme (ACE) inhibitors and angiotensin 2 receptor blockers (ARBs) are used to treat high blood pressure.Blood sugar control
Get Diabetic nephropathy treatment at our San Dimas, Covina, Pasadena, Upland & Ontario Clinics. Please call to make an appointment: California Kidney Specialists
What is dialysis? Dialysis is a treatment that filters and purifies the blood using a machine. This helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. Dialysis has been used since the 1940s to treat people with kidney problems.
Dialysis does the work of your kidneys, removing waste products and excess fluid from the blood.
How do I prepare for dialysis?
Before your first dialysis treatment, your doctor will surgically implant a tube or device to gain access to your bloodstream. This is typically a quick operation. You should be able to return home the same day.
It’s best to wear comfortable clothing during your dialysis treatments. Also, follow your doctor’s instructions. These may include fasting for a certain amount of time before the treatment.
What are the types of dialysis?
There are two ways to get dialysis:
• Peritoneal dialysis
With hemodialysis, a machine removes blood from your body, filters it through a dialyzer (artificial kidney), and returns the cleaned blood to your body. This 3- to 5-hour process may take place in a hospital or a dialysis center three times a week.
With peritoneal dialysis, tiny blood vessels inside the abdominal lining (peritoneum) filter blood through the aid of a dialysis solution. This solution is a type of cleaning liquid that contains water, salt, and other additives.
A kidney transplant is surgery done to replace a diseased kidney with a healthy kidney from a donor. The kidney may come from a deceased organ donor or a living donor. Family members or others who are a good match may be able to donate one of their kidneys. This type of transplant is called a living transplant.
What are the reasons for a kidney transplant?
You may need a kidney transplant if you have the end-stage renal disease (ESRD). This is a permanent condition of kidney failure. It often needs dialysis. This is a process used to remove wastes and other substances from the blood.
Complications of the procedure
Kidney transplant surgery carries a risk of significant complications, including:
Blood clots and bleeding
Leaking from or blockage of the tube that links the kidney to the bladder (ureter)
Failure or rejection of the donated kidney
An infection or cancer that can be passed on from the donated kidney
Death, heart attack, and stroke
Anti-rejection medication side effects
After a kidney transplant, you’ll take medications to help prevent your body from rejecting the donor’s kidney. These medications can cause a variety of side effects, including:
Bone thinning and bone damage
The excessive hair growth or hair loss
High blood pressure
Other side effects may include:
Increased risk of cancer, particularly skin cancer and lymphoma
How do you prepare your body for a kidney transplant?
Stop smoking. Kick the habit at least 4 weeks before your surgery. …
Ask your doctor about medicines. You’ll need to avoid drugs like aspirin, ibuprofen, and blood thinners for a week before your surgery. …
Take this time to do the things you enjoy.
If you do decide to have a kidney transplant, you’ll need to work closely with a nephrologist who is associated with an accredited kidney transplant program with good patient outcomes
Kidney transplantation is an excellent choice. Just be sure to work with a team that has enthusiasm and passion, who is involved in active research, and who has an active database to connect you with the right donors.
California Kidney Specialists is one of the largest kidney care groups In Southern California with over 35 years of dedicated service & has a team of experienced nephrologists, kidney transplant specialists and kidney transplant surgeons in California.