between 85% and 90% of patients with diabetes may have kidney disease without knowing it

This disease is the number 1 cause for kidney failure is diabetes.

Dr. Jose Garcia Mateo. Photo: Medicine and Public Health Magazine

The illness diabetic kidney is a common complication of diabetes type 1 and type 2, which affects the ability of the kidneys to do their normal job of removing waste and excess fluid from the body, if the diabetes Uncontrolled, it can damage the groups of blood vessels in the kidneys that filter waste from the blood, causing kidney damage and high blood pressure.

As explained by Dr. José García Mateo, an endocrinology specialist, this disease can cause “the pressure inside the kidney to be high and that is where the glomeruli break, very fragile cells that can break and release albuminuria”.


As explained by Dr. García “approximately 85 to 90% of the patients who live with diabetes who have kidney disease up to stage 3 don’t know they have this disease.

This is because disease diabetic kidney Is completely asymptomaticpain or discomfort can be felt when there is already serious and often irreparable damage to kidney function (renal failure), its most common symptoms are: decreased amount of urine and kidney failure.


Currently, there are different medications that allow to counteract the complications that this disease can generate, through angiotensin inhibitors, aldosterone receptors and sodium-glucose transporters (flows), blood pressure, blood glucose, fibrosis and inflammation.

To control and treat the disease, a good diet, lifestyle changes, exercise, and prescription medications must be followed. With good blood glucose and high blood pressure control, you can prevent or delay kidney dysfunction and other complications.


The complications of this disease can appear progressively over the months or years, where it can occur: fluid retention, hyperkalemia, cardiovascular disease, diabetic retinopathy, anemia, foot sores, erectile dysfunction, diarrhea, bone disorders and of minerals due to the inability of the kidneys to maintain the correct balance of calcium and phosphorus in the blood and irreversible damage to the kidneys.

These complications, especially in the kidneys, can be reversible “if the patient is taken from an early stage where albuminuria is not so great,” explained Dr. García.

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