Keeping Your Kidneys Healthy

If you’re living with diabetes, your kidneys deserve extra attention. High blood glucose (blood sugar) can cause your kidneys to work harder than they should, leading to damage over time that can lead to chronic kidney disease (CKD). 

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Simple, healthy steps go a long way in helping prevent or slow the damage to your kidneys. We’re here to give you the tools you need to take steps to protect your kidney health. 

Early kidney damage usually doesn’t cause symptoms you notice, and it may not show up on blood tests. That’s why regular kidney tests are one of the most important things you can do. 

Your First Step: Kidney Screenings

There are two quick tests you can get at your regular healthcare visit to tell you (and your healthcare team) how your kidneys are doing:

  • An eGFR (estimated glomerular filtration rate) blood test shows how well your kidneys are filtering
  • A UACR (urine albumin-to-creatinine ratio) urine test checks for protein (called albumin) in your urine.  

Together, these two tests give a general picture of your current kidney health. They should be done every year for most people living with type 2 diabetes, as well as people living with type 1 diabetes for five years or longer.  

If your test shows changes to your kidney health, your doctor may recommend checking more often. 

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Reach out to your doctor to schedule your CKD tests. 

What do your kidneys do?

Your kidneys are two small but vital organs that filter waste from your blood and balance fluids and minerals in your body. Every day, all the blood in your body passes through them around 40 times to be cleaned, and they do other important jobs too. 

Your kidneys: 

  • Filter waste and extra fluid out of your blood 
  • Balance your body’s salt, water, and minerals 
  • Help keep your blood pressure steady 
  • Support bone health and help your body make red blood cells 

When they’re working well, you don’t notice your kidneys at all, and keeping them healthy helps your body run smoothly. 

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Woman holding up a fabric version of the kidneys in front of her

How can diabetes lead to CKD?

Diabetes is the leading cause of chronic kidney disease (CKD). Here’s how it can damage your kidneys over time: 

Caught early, treatment and healthy changes can prevent or delay damage, and early signs of protein leakage can sometimes improve. 

Learn More About CKD

How to Protect Your Kidney Health

There’s a lot you can do to help keep your kidneys healthy and prevent or delay damage, and the most effective strategies are often the same ones you rely on to manage diabetes. 

  • Manage your blood glucose. Research has shown that managing blood glucose can delay the onset or progression of kidney damage in people with diabetes. 
  • Manage your blood pressure. High blood pressure also damages the blood vessels in your kidneys. It’s the second leading cause of CKD (after diabetes). 
  • Build kidney-friendly habits into your everyday life. Kidney-friendly food choices, physical activity, and quitting tobacco products and vaping are all daily actions that add up to help keep your kidneys healthy. 
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Kidney-Friendly Eating Plans

Your healthcare team or a registered dietitian nutritionist (RDN) can help you choose an eating plan that meets your needs and helps you reach your health goals. 

The Diabetes Plate can help you build balanced meals and can be used with the eating plans that support diabetes and kidney health, including: 

  • Mediterranean style 
  • Vegetarian or vegan
  • DASH (Dietary Approaches to Stop Hypertension)  

Need more inspiration? Find kidney-friendly recipes, a personalized grocery list, tools for kidney-friendly meal planning, and more at Diabetes Food Hub®. 

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White plate with healthy balance of cooked carrots, green beans, potatoes, and chicken breast with mushroom sauce