Title- Blausen 0310 DiabeticNephropathy.png
Author- https://commons.wikimedia.org/wiki/User:BruceBlaus
Source - https://commons.wikimedia.org/wiki/File:Blausen 0310 DiabeticNephropathy.png License- https://creativecommons.org/licenses/by/3.0/legalcode.en
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We are well aware that diabetes mellitus is a common disease in the society and results in high blood sugar levels in the blood. It can slowly damage the kidneys and cause Diabetic Nephropathy. In a study it was found that almost 46% of diabetic patients have underlying diabetic nephropathy. But unfortunately, many patients are not even aware of it as it does not cause any troublesome symptoms. In its early course, the condition causes protein leak in the urine and later a rise in blood urea and creatinine levels. This indicates that kidney function is deteriorating. Later, by the time Diabetic Nephropathy causes the feet to swell (a common symptom) the disease has already progressed. As the disease advances, the ability of kidneys to excrete toxic waste products decreases to a critical level and ultimately the patient needs regular dialysis to get rid of these toxins.

Therefore all diabetic patients should consult a Nephrologist (or a kidney specialist) at least once in a year. Can we prevent or slow down the progression of diabetic Nephropathy?

Yes, there are some simple ways to avoid or delay onset of diabetic Nephropathy:

• Maintaining blood sugar levels within healthy ranges.
• Certain medicines called Flozins prevent Diabetic Nephropathy.
• Some medicines called ACE inhibitors / ARBs, can control protein leak in urine.
• The Nephrologist knows when to use these medicines and a consultation can be very helpful in keeping the kidneys healthy and prevent serious complications.
• Restriction of salt intake, good BP control, avoiding tobacco.
• A consultation with a Nephrologist.