Diabetic Nephropathy - Treatment Overview
If you take other
medicines, avoid ones that damage or stress the kidneys, especially
nonsteroidal anti-inflammatory drugs (NSAIDs).
It is also important to keep your blood sugar within a target range to prevent damage to the small blood vessels in the kidneys. The
American Diabetes Association recommends that you keep your blood sugar levels
- 70 mg/dL to 130 mg/dL before meals and 110 mg/dL to 150 mg/dL
- Less than 180 mg/dL 1 to 2 hours after meals.
diabetic nephropathy progresses, blood pressure
usually rises, making it necessary to add more medicine to control blood
pressure and keep it less than 130/80 mm Hg.
may advise you to take the following medicines that lower blood pressure. You
may need to take different combinations of these medicines to best control your
blood pressure. By lowering your blood pressure, you may reduce your risk of
kidney damage. Medicines include:
Continue to avoid other medicines that may damage
or stress the kidneys, especially
nonsteroidal anti-inflammatory drugs (NSAIDs). And it is still important to keep your blood sugar within your target range, limit salt in your diet, restrict the amount of protein you eat, keep your cholesterol at a healthy level, eat a low-fat diet, get regular exercise, and not smoke.
Treatment if the condition gets worse
If damage to
the blood vessels in the kidneys continues,
kidney failure eventually develops. When that occurs,
it is likely that you will need
dialysis treatment (renal replacement therapy)-an
artificial method of filtering the blood-or a kidney transplant to survive. For
more information, see the topic
Chronic Kidney Disease.
What to think about
Diabetic nephropathy can
get worse during pregnancy and can affect the growth
and development of the fetus. If your nephropathy is not severe, your kidney
function may return to its prepregnancy level after the baby is born. If you
have severe nephropathy, pregnancy may lead to permanent worsening of your