Diabetic Kidney Disease

What are my kidneys and what do they do?

Your kidneys are two bean-shaped organs, each about the size of a fist. They are located just below your rib cage, one on each side of your spine. Every day, your two kidneys filter about 120 to 150 quarts of blood to produce about 1 to 2 quarts of urine. Urine flows from your kidneys to your bladder through tubes called ureters. Your bladder stores urine until releasing it through urination.

How can diabetes affect my kidneys?

Too much glucose, also called sugar, in your blood from diabetes damages your kidneys’ filters. If the filters are damaged, a protein called albumin, which you need to stay healthy, leaks out of your blood and into your urine. Damaged kidneys do not do a good job of filtering wastes and extra fluid from your blood. The wastes and extra fluid build up in your blood and make you sick.

Diabetes is a leading cause of kidney disease. Diabetic kidney disease is the medical term for kidney disease caused by diabetes. Diabetic kidney disease affects both kidneys at the same time.

If kidney disease runs in your family, you are also at risk for kidney disease. Talk with your family members about their medical history and your doctor about having your kidney function tested.

What are blood pressure and high blood pressure?

Blood pressure is the force of blood flow inside your blood vessels. Blood pressure is written with two numbers separated by a slash. For example, a blood pressure result of 130/80 is said as “130 over 80.” The first number is the pressure in your blood vessels as your heart beats and pushes blood through your blood vessels. The second number is the pressure as your blood vessels relax between heartbeats.

High blood pressure forces your heart to work harder to pump blood. High blood pressure can strain your heart, damage your blood vessels, and increase your risk of heart attack, stroke, eye problems, and kidney problems

How does high blood pressure affect my kidneys if I have diabetes?

High blood pressure is the other leading cause of kidney disease in people with diabetes. High blood pressure also is a result of damage from kidney disease. If you have high blood pressure, your kidneys may already be damaged. Even a small rise in blood pressure can quickly make kidney disease worse

What should my blood pressure be?

Your blood pressure goal should either be below 140/80 or 140/90 depending on whether you have kidney disease and how severe it is. Discuss your personal goal with your doctor.

Many people with diabetes have high blood pressure. However, keeping your blood pressure at your goal will help prevent damage to your kidneys, heart, brain, blood vessels, and other parts of your body. Meal planning, medicines, and physical activity can help you reach your blood pressure goal.

Have your blood pressure checked at every health care visit. Ask your doctor if you need medicine to control your blood pressure. Medicine that helps control your blood pressure can slow progression of kidney disease.

Two types of blood pressure-lowering medicines—angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs)—have been found to slow progression of kidney disease in people with diabetes.


Dr Ajay Goyal is an expert in the field of Nephrology and Renal Transplant medicine. He is specialist in management of diseases related to kidneys. He has 16 years of Clinical Experience behind him



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