Your doctor may prescribe medicines to lower your blood pressure and protect your kidneys from more damage. Often, the best types of medicine to use are ACE inhibitors and angiotensin receptor blockers (ARBs).
Even when your blood pressure is normal, these medicines will help slow kidney damage.
Eating a low-fat diet, taking drugs to control blood cholesterol, and getting regular exercise can also help prevent or slow kidney damage.
You can also slow kidney damage by controlling your blood sugar levels, which you can do by:
Eating a healthy diet
Regularly taking insulin or other medicines your doctor prescribes
Knowing the basic steps for managing your blood sugar levels at home
Checking your blood sugar levels and keeping a record of them
To protect your kidneys, remember the following:
Tell your doctor about your diabetes before having an MRI, CT scan, or other imaging test in which you receive a contrast dye. These dyes can further damage the kidneys.
Always talk to your health care provider before taking NSAID pain medicines, such as ibuprofen and naproxen. They can damage the kidneys.
Know the signs of urinary tract infections and get treated right away.
To treat chronic kidney disease, you need to make changes to your diet, and treat problems caused by kidney disease.
Diabetic kidney disease is a major cause of sickness and death in people with diabetes. It can lead to the need for dialysis or a kidney transplant.
Calling your health care provider
Call your health care provider if you have diabetes and you have not had a routine urinalysis to check for protein.
American Diabetes Association. Standards of medical care in diabetes--2012. Diabetes Care. 2012 Jan;35 Suppl 1:S11-63.
Parving H, Mauer M, Fioretto P, Rossing P, Ritz E. Diabetic Nephropathy. In: Taal MW, Chertow GM, Marsden PA, Skorecki K, Yu ASL, Brenner BM, eds. Brenner and Rector's The Kidney. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2011: chap 38.
Shehzad Topiwala, MD, Chief Consultant Endocrinologist, Premier Medical Associates, The Villages, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.