Diabetic Nephropathy
People with diabetes, the small blood vessels in the body are injured. When the blood vessels in the kidneys are injured, kidneys cannot clean the blood properly. The body will retain more water and salt than it should, which can result in weight gain and ankle swelling. Results may have protein in the urine. Also, waste materials will build up in the blood. Diabetes also may cause damage to nerves in the body. This can cause difficulty in emptying the bladder. The pressure resulting from the full bladder can back up and injure the kidneys. Also, if urine remains in the bladder for a long time, it can develop an infection from the rapid growth of bacteria in urine that has a high sugar level.
The earliest sign of diabetic kidney disease is an increased excretion of albumin in the urine. Weight gain and ankle swelling may occur. The blood pressure may get too high. As a person with diabetes, you should have your blood, urine and blood pressure checked at least once a year. This will lead to better control of disease and early treatment of high blood pressure and kidney disease. Maintaining control of the diabetes can lower the risk of developing severe kidney disease.
Signs of Kidney Disease in Patients with Diabetes
- Albumin/protein in the urine
- High blood pressure
- Ankle and leg swelling, leg cramps
- Going to the bathroom more often at night
- High levels of BUN and creatinine in blood
- Less need for insulin or antidiabetic medications
- Morning sickness, nausea and vomiting
- Weakness, paleness and anemia
- Itching
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