Diabetic Kidney Disease

Diabetic Kidney Disease (Diabetic Nephropathy) Nephrologists in Pennsylvania

Expert Care for Diabetic Kidney Disease

Diabetic kidney disease, also known as diabetic nephropathy, is a serious complication of diabetes that affects the kidneys’ ability to filter waste from the blood. Over time, high blood sugar levels can damage the small blood vessels in the kidneys, reducing their function. Diabetic nephropathy progresses slowly, often without symptoms in the early phases, but can eventually lead to chronic kidney disease or kidney failure if left untreated.

Diabetic kidney disease patient performing a glucose test

Understanding Diabetic Nephropathy Stages

Diabetic nephropathy stages are used to measure the progression of the disease. In the early stages, there may be no noticeable signs, which is why early diagnosis is crucial. As the condition advances, symptoms can include swelling in the ankles, shortness of breath, or fatigue. Our streamlined access to diagnostics ensures a precise diagnosis so you receive the right care at the right time.

kidney doctor in Pennsylvania consulting with a diabetic kidney disease patient

Diabetic Kidney Disease Treatment

At Clinical Renal Associates in Pennsylvania, our specialists provide comprehensive care for patients with diabetic nephropathy at every stage. Earlier treatment is more effective than treatment begun at later stages, so we focus on slowing disease progression through strict control of blood sugar and blood pressure, adjusting medications as needed, and recommending lifestyle modifications. In later diabetic nephropathy stages, we coordinate advanced care, including dialysis planning or transplant evaluation when needed.

Contact Clinical Renal Associates in Pennsylvania

If you have diabetes and are told you have increased protein or albumin in your urine, or you notice swelling, unexplained fatigue, or changes in urination, contact our team. Regular screening is essential, even without symptoms, because diabetic kidney disease often progresses silently. At Clinical Renal Associates, we provide expert guidance, ongoing monitoring, and compassionate care at every stage to help you protect your kidney health and overall well-being.

Kidney Stone FAQs

What causes diabetic kidney disease, and who is more likely to develop it?

Diabetic kidney disease (DKD), also called diabetic nephropathy, occurs when diabetes has been present long enough to damage the delicate filtering units inside the kidneys. Over time, this injury makes it harder for the kidneys to remove waste, balance fluids, and regulate essential minerals. Both type 1 and type 2 diabetes can lead to DKD, and it often develops gradually without obvious symptoms in the early stages.

At Clinical Renal Associates, we perform comprehensive evaluations, including urine albumin testing, blood work, and imaging when appropriate. Identifying early changes allows us to intervene sooner, protect kidney function, and prevent the disease from advancing.

What are the most effective treatment options for diabetic kidney disease?

Managing DKD requires a combination of medical therapy, lifestyle guidance, and close monitoring. The primary goal is to slow the progression of your diabetic kidney disease, maintain your kidney function, and reduce cardiovascular complications.

Your nephrologist may also adjust medications to manage swelling, electrolyte imbalances, or anemia if these develop. Nutritional support plays a vital role in protecting kidney health.

How can I prevent diabetic kidney disease from progressing?

Slowing the progression of DKD starts with consistent, proactive management. Taking the right kidney-protective medications, keeping blood sugar within your target range, and controlling your blood pressure are the three powerful steps for preserving kidney health.

You can monitor your blood sugar levels, regularly get A1C checks to further track your blood sugar levels, check your home blood pressure, avoid NSAID medications like ibuprofen or naproxen, and ensure you are taking all the medications prescribed by your nephrologist.

Working together, you and your nephrologist can help reduce long-term kidney damage. Fortunately, the same treatments that protect the kidneys and protect your heart and vascular systems to decrease your chances of having a stroke, heart attack, or developing heart failure.

Nutritional changes can make a significant difference. A balanced diet that includes heart-healthy foods, limits processed foods, and controls protein intake helps reduce kidney workload—staying hydrated and maintaining a healthy body weight further supports long-term kidney function.

Clinical Renal Associates partners with each patient to develop a long-term kidney protection strategy designed around their health goals, lifestyle, and stage of diabetes-related kidney disease.