The Fidelis Care Blog

Diabetes is the leading cause of kidney disease, a condition that can develop over time when the kidneys are damaged and can’t filter waste out of your blood. Over time, this damage can get worse. It can lead to chronic kidney disease (CKD). In severe cases, it can lead to kidney failure, which may require dialysis or a kidney transplant.

Diabetic kidney disease does not happen overnight. It progresses through several stages, starting with very mild damage and then more serious issues if not managed correctly.

The best way to protect your kidneys from damage is to manage your diabetes. You can lower the risk of kidney disease by keeping your blood sugar, blood pressure, and cholesterol levels under control. Here are some key steps you can take:

1. Control Your Blood Sugar

Managing your blood sugar levels is the most important step in preventing kidney disease. Follow your primary care provider (PCP)’s advice on how to monitor your blood glucose levels. Take your medications as prescribed. If you are unsure about the right range of blood sugar levels for you, talk to your PCP.

2. Manage Your Blood Pressure

High blood pressure can further damage your kidneys, especially when combined with diabetes. Aim to keep your blood pressure below 130/80 mmHg, or as recommended by your PCP. Medications called ACE inhibitors or ARBs are often prescribed to help protect the kidneys in people with diabetes.

3. Stay Active and Maintain a Healthy Diet

Regular physical activity and eating a balanced diet can help manage both blood sugar and blood pressure. Eat foods low in sodium, sugar, and unhealthy fats. Include more fruits, vegetables, whole grains, and lean proteins in your diet. Your PCP or nutritionist can help you make a meal plan that supports both your diabetes and kidney health.

4. Quit Smoking

Smoking can contribute to kidney damage, especially if you have diabetes. Quitting smoking is one of the most important things you can do for your overall health. Fidelis Care offers smoking cessation resources that can help you quit smoking.

5. Take Medications as Prescribed

Take prescribed medications for blood sugar, blood pressure, and cholesterol as directed by your PCP. Certain drugs that help control blood sugar (called “SGLT-2 inhibitors) can also lower blood pressure. Along with GLP-1 receptor agonists, these medications can lower the strain on your kidneys and slow the progression of any existing kidney damage.

6. Regularly Monitor Kidney Function

People with diabetes should have their kidney function tested regularly. This can be done through a urine test (to check for protein) and a blood test (to measure how well the kidneys are filtering blood). Finding kidney problems early can make a big difference in preventing further damage. Ask your PCP how often you should be screened.

Managing diabetes is key to protecting your kidney health. By staying informed, following your treatment plan, working with your PCP, and using resources available through Fidelis Care, you can lower the risk of kidney disease and live a healthier life.