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Diabetic Kidney Disease

WHAT YOU NEED TO KNOW:

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. DKD may worsen over time and lead to kidney failure.


DISCHARGE INSTRUCTIONS:

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.

Contact your healthcare provider if:

  • You suddenly gain or lose more weight than your healthcare 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:

  • Medicines may be given to decrease blood pressure and get rid of extra fluid.
  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him 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 healthcare 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 exercise plan recommended by your healthcare provider. Check your blood sugar levels every day, as often as your healthcare provider has recommended. Your healthcare provider may want you to have your A1c checked every 3 to 6 months. Most people should keep their A1c at or below 7%.
  • Follow your meal plan as directed. You may need to eat only a certain amount of protein at each meal. Work with your dietitian to develop a meal plan that is right for you.
  • Control your blood pressure. Decrease sodium (salt) in your diet to help control your blood pressure. Weight loss and regular physical activity can also help to decrease your blood pressure. Other things you can do to help decrease blood pressure include avoiding alcohol and quitting smoking, if you smoke.
  • Talk to your healthcare provider about over-the-counter (OTC) medicines you should avoid. Some OTC medicines, such as ibuprofen, can damage your kidneys.

© 2015 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

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.

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