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Diabetic Kidney Disease C0011881

Published: July 22, 2026Updated: August 27, 2026

A complication of diabetes where high blood sugar damages the kidneys' filtering units over time. It develops in some people with long-standing diabetes. Management includes blood sugar control, blood pressure medications, and monitoring for progression.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 27, 2026Editorial policy

Key facts at a glance

ICD-10
N28.9
ICD-11
GA00.0
Body system
renal
Severity
severe
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Albuminuria

(renal)

Changes in urination or swelling

(renal)

Significant symptoms that substantially affect daily functioning.

Frequency: Common at all stages

Hypertension

(renal)

Edema

(renal)

Decreased GFR

(renal)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

ACE inhibitors or ARBs

Renin-angiotensin system blockers reduce proteinuria and slow kidney disease progression in diabetic nephropathy. These agents provide kidney protection beyond their blood pressure-lowering effects.

medication
2

Renal disease management

Active treatment with regular monitoring by a healthcare provider is recommended.

medication
3

SGLT2 inhibitors

Sodium-glucose cotransporter 2 inhibitors provide glycemic control while offering direct kidney protection by reducing hyperfiltration and proteinuria in diabetic kidneys.

medication

Additional treatment options

Blood pressure management

Strict blood pressure control is essential to slow diabetic kidney disease progression. Lifestyle modifications including reduced sodium intake and weight management complement pharmacotherapy.

lifestyle

Kidney-friendly dietary modifications

Reduced protein intake and careful phosphorus and potassium management help减轻肾脏负担 in diabetic nephropathy. Professional dietitian guidance ensures nutritional adequacy while limiting kidney stress.

dietary

Dialysis or kidney transplantation evaluation

When diabetic kidney disease progresses to end-stage renal disease, renal replacement therapy becomes necessary. Evaluation for kidney transplantation provides the best long-term outcomes.

surgical

When to seek medical help

Recognize when you need immediate medical attention.

See a doctor within 24 hours

Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.

Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Diabetic Kidney Disease C0011881?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Medication Comparisons

Compare medications used to treat Diabetic Kidney Disease C0011881. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 27, 2026. · Read our editorial policy