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Diabetic kidney disease

Also known as Diabetic Nephropathy and Diabetic Renal Disease

Diabetic nephropathy (nephropatia diabetica), also known as Kimmelstiel-Wilson syndrome, or nodular diabetic glomerulosclerosis and intercapillary glomerulonephritis, is a progressive kidney disease caused by angiopathy of capillaries in the kidney glomeruli. It is characterized by nephrotic syndrome and diffuse glomerulosclerosis. It is due to longstanding diabetes mellitus, and is a prime indication for dialysis in many Western countries.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with diabetic kidney disease, 12% report having impotence, 12% report having leg swelling, and 7% report having thirst. The symptoms that are highly suggestive of diabetic kidney disease are impotence, thirst, and symptoms of the kidneys, although you may still have diabetic kidney disease without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with diabetic kidney disease often receive hematologic tests, complete blood count, glucose measurement, urinalysis, hemoglobin a1c measurement, electrolytes panel, lipid panel and complete physical skin exam performed (ml) .

Common Medications

The most commonly prescribed drugs for patients with diabetic kidney disease include insulin, insulin glargine (lantus), glipizide, allopurinol, insulin, aspart, human (novolog), pioglitazone (actos), sevelamer (renvela), tacrolimus (prograf), lovastatin, fexofenadine (allegra), rosiglitazone (avandia), nifedipine and mycophenolic acid (myfortic) .

Insulin

Insulin Glargine (Lantus)
$155
(28 days)
Glipizide
$10
(28 days)
Allopurinol
$4
(28 days)
Insulin, Aspart, Human (Novolog)
$194
(28 days)
Pioglitazone (Actos)
$184
(28 days)
Sevelamer (Renvela)
$453
(28 days)
Tacrolimus (Prograf)
$376
(28 days)
Lovastatin
$12
(28 days)
Fexofenadine (Allegra)
$37
(28 days)
Rosiglitazone (Avandia)
$157
(28 days)
Nifedipine
$39
(28 days)
Mycophenolic Acid (Myfortic)
$520
(28 days)

Who is at risk?

Groups of people at highest risk for diabetic kidney disease include race/ethnicity = other, age 75+ years and age 60-74 years. On the other hand, age 5-14 years and age < 1 years almost never get diabetic kidney disease.

Age

< 1 years
0.0x
1-4 years
0.1x
5-14 years
0.0x
15-29 years
0.1x
30-44 years
0.6x
45-59 years
1.5x
60-74 years
2.7x
75+ years
1.8x

Sex

Male
1.2x
Female
0.8x

Race/Ethnicity

Black
0.9x
Hispanic
1.1x
White
0.9x
Other
2.4x
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