DiagnosisDiabetic nephropathy is usually diagnosed during routine testing that's a part of your diabetes management. If you're living with type 1 diabetes, screening for diabetic nephropathy is recommended beginning five years after your diagnosis. If you are diagnosed with type 2 diabetes, screening will begin at the time of diagnosis. Show
Routine screening tests may include:
Other diagnostic tests may include the following:
TreatmentThe first step in treating diabetic nephropathy is to treat and control your diabetes and high blood pressure (hypertension). This includes diet, lifestyle changes, exercise and prescription medications. With good management of your blood sugar and hypertension, you may prevent or delay kidney dysfunction and other complications. MedicationsIn the early stages of diabetic nephropathy, your treatment plan may include medications to manage the following:
Your doctor will likely recommend follow-up testing at regular intervals to see whether your kidney disease remains stable or progresses. Treatment for advanced diabetic nephropathyStart Your Donor EvaluationBegin the process of becoming a living kidney or liver donor by clicking here to complete a health history questionnaire.If your disease progresses to kidney failure (end-stage kidney disease), your doctor will likely discuss options for care focused on either replacing the function of your kidneys or making you more comfortable. Options include:
Potential future treatmentsIn the future, people with diabetic nephropathy may benefit from treatments being developed using regenerative medicine. These techniques may help reverse or slow kidney damage caused by the disease. For example, some researchers think that if a person's diabetes can be cured by a future treatment such as pancreas islet cell transplant or stem cell therapy, kidney function may improve. These therapies, as well as new medications, are still under investigation. Kidney Disease: How kidneys work, Hemodialysis, and Peritoneal dialysisClinical trialsExplore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Lifestyle and home remediesDiet, exercise and self-management are essential for controlling blood sugar levels and high blood pressure. Your diabetes care team will help you with the following goals:
Coping and supportIf you have diabetic nephropathy, these steps may help you cope:
Preparing for your appointmentDiabetic nephropathy is usually identified during regular appointments for diabetes care. After a diagnosis of diabetic nephropathy, your overall treatment plan will address ongoing management of diabetes and tests to monitor changes in kidney function. If you've been recently diagnosed with diabetic nephropathy, you may want to discuss the following questions with your doctor:
Questions for ongoing appointmentsBefore any appointment with a member of your diabetes treatment team, ask whether you need to follow any restrictions, such as fasting before taking a test. Questions to regularly review with your doctor or other members of the team include:
What to expect from your doctorYour health care provider is likely to ask you a number of questions at regularly scheduled appointments, including:
Oct. 19, 2021 What clinical finding is most commonly seen in chronic kidney disease?The most common laboratory findings in patients with CKD include increased serum creatinine and blood urea nitrogen. Urine studies may show proteinuria (or albuminuria) and/or abnormal red or white blood cells on urine microscopy.
What are some clinical manifestation found in a person with chronic kidney disease?Symptoms can include:. weight loss and poor appetite.. swollen ankles, feet or hands – as a result of water retention (oedema). shortness of breath.. tiredness.. blood in your pee (urine). an increased need to pee – particularly at night.. difficulty sleeping (insomnia). itchy skin.. What are some of the effects on health for a patient with chronic kidney disease?Some other health consequences of CKD include: Anemia or low number of red blood cells. Increased occurrence of infections. Low calcium levels, high potassium levels, and high phosphorus levels in the blood.
What are the assessment findings in a patient with acute kidney injury?Physical examination of patients with acute kidney injury is usually remarkable for hypotension, edema of the lower extremities, maculopapular rash and rales on chest ausculatation.
How do you assess a patient with CKD?Urine and blood tests are used to detect and monitor kidney disease. Currently, the key markers used include abnormal urine albumin levels and a persistent reduction in the estimated glomerular filtration rate (eGFR). Identification of the etiology may help guide management.
What are the two main conditions responsible for chronic kidney disease?Diabetes and high blood pressure are the most common causes of chronic kidney disease (CKD).
|