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Diabetic Kidney Disease


Diabetic kidney disease (DKD) is the gradual and permanent loss of kidney function. This occurs because of kidney damage caused by high blood sugar levels. Normally, the kidneys remove fluid, chemicals, and waste from your blood. These wastes are turned into urine by your kidneys. When you have DKD, your kidneys do not function properly.


Call 911 for any of the following:

  • You have a seizure.
  • You have sudden chest pain or shortness of breath.

Return to the emergency department if:

  • Your heart is beating faster than normal for you.
  • You are confused and very drowsy.

Call your care team provider if:

  • You suddenly gain or lose more weight than your care team provider has told you is okay.
  • You have itchy skin or a rash.
  • You have nausea and repeated vomiting.
  • You have fatigue or muscle weakness.
  • You have an increased need to urinate, burning or pain when you urinate, blood in your urine, or strong odor to your urine.
  • You have questions or concerns about your condition or care.


  • Medicines may be given to decrease blood pressure and get rid of extra fluid.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your care team provider as directed:

You will need to return for tests to monitor your kidney function. You may also be referred to a kidney specialist. Write down your questions so you remember to ask them during your visits.

Manage your DKD:

  • Control your blood sugar levels. If you use insulin or take diabetes medicine, take these as directed. Follow the meal and activity plan recommended by your care team provider. Check your blood sugar levels every day, as often as your care team provider has recommended. Your care team provider may want you to have your A1c checked every 3 to 6 months. Most people should keep their A1c at or below 7%.
    How to check your blood sugar
  • Follow your meal plan as directed. You may need to eat only a certain amount of protein at each meal. You may also need to track your sodium (salt) and potassium intake. Work with your dietitian to develop a meal plan that is right for you.
  • Check your blood pressure as directed. High blood pressure can damage the blood vessels in your kidneys. This prevents your kidneys from working correctly and increases your risk for DKD. A normal blood pressure is 119/79 or lower. Talk to your care team provider about your blood pressure goals. Together you can create a plan to lower your blood pressure if needed and keep it in a healthy range. The plan may include lifestyle changes or medicines to lower your blood pressure.
    How to take a Blood Pressure
  • Talk to your care team provider about over-the-counter (OTC) medicines you should avoid. Some OTC medicines, such as ibuprofen, can damage your kidneys.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.