1199 Prince Ave.Athens, GA 30606
1968 Peachtree Road NWAtlanta, GA 30309
1255 Highway 54 WestFayetteville, GA 30214
1133 Eagle’s Landing ParkwayStockbridge, GA 30281
1266 Highway 515Jasper, GA 30143
745 Poplar RoadNewnan, GA 30265
5126 Hospital Dr NECovington, GA 30014
Nephropathy is the deterioration of the kidneys. The final stage of nephropathy is called end-stage renal disease, or ESRD.
According to the Centers for Disease Control and Prevention (CDC), diabetes is the most common cause of ESRD, accounting for about 44 percent of all new cases of kidney failure in 2008. In 2011, about 25.8 million people in the U.S. have diabetes, and more than 202,290 people with ESRD due to diabetes were either on chronic renal dialysis or had a kidney transplant. Both type 1 and type 2 diabetes can lead to diabetic nephropathy, although type 1 is more likely to lead to ESRD.
There are five stages of diabetic nephropathy, or deterioration of the kidneys. The fifth stage is ESRD. Progress from one stage to the next can take many years, with 23 years being the average length of time to reach stage five.
Hypertension, or high blood pressure, is a complication of diabetes that is believed to contribute most directly to diabetic nephropathy. Hypertension is believed to be both the cause of diabetic nephropathy, as well as the result of damage that is created by the disease. As kidney disease progresses, physical changes in the kidneys often lead to increased blood pressure.
Uncontrolled hypertension can make the progress toward stage five diabetic nephropathy occur more rapidly.
The onset and progression of diabetic nephropathy can be slowed by intensive management of diabetes and its symptoms, including taking medications to lower blood pressure.
Specific treatment for diabetic nephropathy will be determined by your physician based on:
Your age, overall health, and medical history
Extent of the disease
Your tolerance for specific medications, procedures, or therapies
Expectations for the course of the disease
Your opinion or preference
Treatment may include any, or a combination of, the following:
Strict monitoring and controlling of blood glucose levels, often with medication and insulin injections
Medication (to lower blood pressure)
Treatment for ESRD often initially includes dialysis to cleanse the blood, and, eventually, kidney transplantation may also be a consideration.
1199 Prince Ave.Athens, GA 30606706-475-7000
1968 Peachtree Road NWAtlanta, GA 30309404-605-5000
1255 Highway 54 WestFayetteville, GA 30214770-719-7000
1133 Eagle’s Landing ParkwayStockbridge, GA 30281678-604-1000
1266 Highway 515Jasper, GA 30143706-692-2441
745 Poplar RoadNewnan, GA 30265770-400-1000
5126 Hospital Dr NECovington, GA 30014770-786-7053
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