Signs of early kidney damage can develop in more than half the people with diabetes. If left untreated, this could lead to more damage or kidney failure.
During its early course, diabetic nephropathy often has no symptoms. Symptoms can take 5 to 10 years to appear after the kidney damage begins.
You could be in a process of serious kidney damage without being aware of it. There are usually no specific symptoms of kidney disease until the damage is severe. However, if you have diabetes, you should be tested once a year to see if diabetes has affected your kidneys. Your doctor can arrange a urine test for protein (a random urine test for albumin to creatinine ratio and microalbuminuria), and a blood test to check how well your kidneys are functioning (the serum creatinine).
As the kidney function worsens, symptoms may include:
* Swelling of the hands, feet, and face
* Trouble sleeping or concentrating
* Poor appetite
* Nausea and vomiting
* Itching (end-stage kidney disease) and extremely dry skin
* Drowsiness (end-stage kidney disease)
* Abnormalities in the heart’s regular rhythm, because of increased potassium in the blood
* Muscle twitching
As kidney damage progresses, your kidneys cannot remove the waste from your blood. The waste then builds up in your body and can reach poisonous levels, a condition known as uremia. People with uremia are often confused or comatose.
Worsening of kidney disease may be slowed, stopped or even reversed if caught very early. It is very important to slow worsening of kidney as the advanced stage of the disease is kidney failure, when the kidney -cannot do its job of filtering harmful wastes from the blood. An individual needs at least one functioning kidney to survive. When kidneys fail, dialysis or a kidney transplant is necessary to stay alive. Kidney disease can progress to kidney failure more quickly among those who have diabetes. The best chance to stop kidney disease from progressing is to recognize it early and start with a treatment course that can slow or stop the decline in kidney function.BY indiatimes.com