How do you know you get diabetic nephropathy
The first sign of diabetic nephropathy is the presence of protein in the urine. Small amounts of albumin show up in the urine 5 to 1o years before major kidney damage happens. The following is the symptoms or signs of different stages.
Stage 1: The stage 1 is characterized by increased GFR( glomerular filtration rate), enlarged kidneys and normal glomerular basement membrane. You can ask your doctor to calculate your GFR which can tell you how well you kidneys work. In this stage, it is reversible.
Stage 2: In this stage, your GFR is increased or normal. Urinary Albumin Excretion is normal but increases after excise. High blood pressure is normal.
Stage 3: Stage 3 is the early diabetic kidney disease. GFR is likely to be normal but Urinary Albumin Excretion is higher than normal ( 20-70 mg/min or 70-200 mg/24h). High blood pressure may moderately increase. A small part of glomeruli fail. In this stage, lowing blood pressure can help to control the loss of protein.
Stage 4: Clinical Diabetic Nephropathy or Overt Diabetic Nephropathy. Massive Albuminuria, Edema and High Blood Pressure can be found in this stage, especially Edema.
Stage 5: This stage is end-stage kidney disease. GFR is less than 10ml/min and people experience high blood pressure, edema, high creatinine levels, high BUN, loss of appetite, nausea especially in the morning, anemia, low calcium and high potassium, cardiovascular disease.
Different stages have different symptoms or signs. You can consult our experts online to evaluate your condition and give you some advice on treatment.
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Do you have any question? You can leave a message.A detailed analysis of your condition by our experts can greatly guide your treatment and daily care.