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IOANNIS GRIVEAS

MD,PhD

Chapter 2.1 Chronic Kidney Disease Risk factors II

13 September 2017

Common questions regarding diabetes

If I do not watch my blood sugar levels, what can happen to my kidneys?
If you have diabetes, it is because your body does not make enough insulin or cannot properly use the insulin it does make. Your body uses insulin to convert sugar into energy. If your body does not have the insulin it needs to do this, the sugar stays in your blood and damages part of your body. In that case your kidney’s glomeruli (the filtering system of the kidney) may be damaged.


How else can diabetes damage my kidneys?
An early sigh of kidney damage is when your kidneys leak small amounts of a protein called albumin into the urine. This is called microalbuminuria. With more damage, the kidneys leak more and more protein. This condition is called proteinuria. This damage gets worse until the kidneys fail. When there is protein I the urine, it increases the chance of heart disease.


>How can I prevent diabetic kidney problems?

  • Keep sugar as close to normal as you can.
  • Keep your blood pressure below 130/80 to help prevent kidney damage. Keep your blood pressure under control will also slow damage to your eyes, heart and blood vessels.
  • Follow the health eating plan you work and in particular reduce the salt in your diet.
  • Have your kidneys check at least twice a year by having your urine tested for small amounts of protein.
  • See a doctor immediately if you think you have a kidney infection (pain or burning when you urinate, frequent urge to go to the bathroom, urine that looks cloudy, reddish or brown, fever, pain in your back)