Severe Uncontrolled diabetes

Diabetic nephropathy or Diabetic kidney disease is seen in patients with long standing Uncontrolled diabetes mellitus.

Patients with diabetic nephropathy will notice Swelling of the feet, puffiness around the eyes, shortness of breath while walking. Urine examination will show proteinuria. Protein loss is associated with rise in blood pressure and increase in Serum creatinine levels.

Increase in Serum creatinine indicates fall in the kidney function.

Treatment includes Strict control of blood sugar, control of hypertension, RAAS blockade.