Introduction:
The kidneys are loaded with millions of tiny blood vessels that act as filters to remove waste from the blood. When diabetes and hyperglycemia occur, the blood vessels and nerves are affected over time. In addition, filtering large amounts of glucose is a burden on the kidneys. After several years, useful protein begins to come out with urine. In late cases, it can reach the stage of Renal failure (kidney failure). Many diabetic patients may also suffer from Hypertensive (high blood pressure), which can also cause kidney damage.

Factors that can increase the progression of kidney disease in a diabetic patient:

• Hyperglycemia (High blood glucose)
• Hypertensive (High Blood Pressure).
• If the patient is a smoker.
• Eating a high salt diet.
• Being overweight or obese.
• People with Cardiac Disease.
• There is a family history of kidney failure.

Symptoms:
Symptoms do not appear at first, but as the condition progresses the following symptoms begin:

• Fluid Retention.
• Fatigue and exhaustion.
• Difficulty concentrating.
• Poor appetite.
• Epigastric Pain.
• Insomnia and difficulty sleeping.

Tips to keep your kidneys healthy:

• Keeping blood glucose levels in the target range as much as possible.
• Doing an A1C test at least twice a year, at a higher rate if the medicine is changed or when other health conditions are present.
• Checking your blood pressure regularly, keep your blood pressure readings in the target range (less than 140/90) and talk to your doctor about medications and other ways to lower your blood pressure.
• Making your cholesterol level in the target range.
• Eating foods that are low in sodium.
• Eating more fruit and vegetables.
• Practicing regular physical activity.
• Taking medications as directed.
• Smoking Cessation.
• Weight control in case of weight gain.