Diabetic nephropathy, or kidney disease caused by diabetes, can lead to serious health problems if left untreated. In the early stages of diabetic nephropathy, there may not be any noticeable signs or symptoms. However, in later stages, signs and symptoms may include:

• Worsening blood pressure control
• Protein in the urine
• Swelling of feet, ankles, hands, or eyes
• Increased need to urinate
• Reduced need for insulin or diabetes medicine
• Confusion or difficulty concentrating
• Shortness of breath
• Loss of appetite
• Nausea and vomiting
• Persistent itching
• Fatigue

Its important to note that most people with diabetic kidney disease do not have symptoms until the disease has progressed to a later stage. Therefore, its recommended that people with diabetes get their kidneys checked regularly by a healthcare professional, especially if they have had type 1 diabetes for more than 5 years or have type 2 diabetes. Tests that measure kidney function, such as blood and urine tests, can help detect diabetic kidney disease early. If you have any signs or symptoms of kidney disease, you should make an appointment with your doctor.