1. Control Your Blood Sugar.
Tight glucose control really does prevent or delay the onset of kidney disease. Talk to your health care provider about what your target levels should be. And manage your daily lifestyle in accordance to that.
2. Take Medications.
Most people with diabetic kidney disease need to lower their blood pressure. The two types of medications most often prescribed are ACE inhibitors (angiotensin-converting enzyme inhibitors) and ARBs (angiotensin-receptor blockers). Both also can prevent or slow the progression of diabetes-related kidney disease, so health care providers may prescribe them to people at risk of diabetic kidney disease who have normal blood pressure.
3. Monitor Your Blood Pressure.
Aim to get it below 130/80 mmHg. Even a small rise in blood pressure can quickly make kidney disease worse. For mild hypertension, your health care provider may recommend weight loss, exercise, consuming less salt, and avoiding tobacco and alcohol. There are many medications available to help lower blood pressure.
4. Know your risks
Early detection can help prevent kidney disease from progressing to kidney failure and the need for dialysis or transplant. It also can delay or prevent complications such as high blood pressure (another risk factor for kidney disease), anaemia, nerve damage, and heart and blood vessel disease. The kidneys—essentially masses of blood vessels, each about the size of a fist—filter the blood, removing waste products and excess salt and water. Diseased kidneys allow wastes to build up in the blood, which harms the body.
Although more than 40 per cent of people with diabetes has high chances of getting kidney disease, most are not aware of the risk.
5. Take control
Behaviours that help in managing diabetes also fight kidney disease, so these recommendations are probably familiar: Eat a healthful diet; maintain optimum weight; keep blood glucose, blood pressure, and blood cholesterol in control; limit sodium; don’t smoke, and get regular physical activity.