The prognosis of Diabetic Nephropathy usually refers to the likely outcome of Diabetic Nephropathy. Diabetic Nephropathy is a common complication of diabetes. Therefore, prognosis of Diabetic Nephropathy depends largely on management of diabetes and the underlying condition.
Generally speaking, it takes 10-15 years for Type 1 Diabetic patients to develop into Diabetic Nephropathy, while the incidence for Type 2 Diabetic patients to develop into Diabetic Nephropathy is higher.
Diabetic Nephropathy is classified into five stages:
In the first stage, there is only high blood sugar. If this symptom is improved, there will be no damage to the kidney tissues.
In the second stage, besides high blood sugar, there may be microalbuminuria after exercise, but after having a rest, proteinuria will disappear. If blood sugar is controlled, it will prolong the time in this stage.
In the third stage, there will be persistent microalbuminuria and high blood pressure. You take ACEI, ARB or the similar drugs to lower blood pressure and cyclophosphamide to reduce proteinuria.
In the fourth stage, there will be large amounts of protein in the urine. And about 30% of patients may have the symptoms of Nephrotic Syndrome(heavy proteinuria, hypoalbuminemia, serious edema and hyperlipemia).
In the fifth stage, the symptoms of uremia is obvious and dialysis or kidney transplant is suggested.
From the above information, we can know that although kidney failure can not always be prevented, worsening can be slowed with medications and control of high blood sugar, high blood pressure and proteinuria. If you have lived with Diabetes for many years, you should do physical examination regularly to have a thorough knowledge of your condition. The earlier you do preventive measures, the better prognosis you will have. You may live healthily with Diabetic Nephropathy. If there are still doubts about Diabetes Nephropathy, you can consult our online doctors. Best wishes!