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The kidneys have a filter system made up of very fine blood vessels that filter the blood. Long-term high blood sugar<\/strong> can damage this delicate structure, while high blood pressure<\/strong> increases the pressure inside the kidney and can accelerate the damage. When these two conditions occur together, the risk of losing kidney function rises even further.<\/p>\n The main goal in preventing (or delaying) diabetes-related kidney damage is to keep blood sugar balanced in the long term. Although it may vary from person to person, guidelines mostly point to a certain target range for HbA1c; your doctor will set the right target for you.<\/p>\n When blood pressure stays high, the kidneys\u2019 filtering structure is put under more strain. Regular measurement, not skipping medication and physician follow-up are therefore critical for protecting the kidneys.<\/p>\n Salt restriction<\/strong> is an important step in managing hypertension; excessive salt makes blood pressure harder to control and can increase kidney and cardiovascular risks. On the other hand, cutting salt down \u201cto zero\u201d is not always the right approach; the goal is a controlled and sustainable<\/strong> reduction.<\/p>\n In people with diabetes, kidney damage can progress for a long time without symptoms. That is why regular follow-up is important. Guidelines emphasize assessing kidney health at regular intervals with blood and urine tests (e.g. creatinine\/eGFR and urine albumin).<\/p>\n In diabetes and hypertension, if the urine albumin-to-creatinine ratio<\/strong> is elevated, physicians may prefer certain blood pressure medications (such as ACE inhibitors\/ARBs) for their kidney-protective effects; however, there are situations in which routine use of these groups purely \u201cfor prevention\u201d is not recommended in people with normal blood pressure, normal albumin and normal kidney function<\/strong>. The decision on medication is individual; some blood values may need to be monitored when starting treatment and when changing doses.<\/p>\n Together with uncontrolled blood sugar and high blood pressure, factors such as smoking<\/strong> can accelerate kidney damage. Lifestyle changes (diet, exercise, weight management) and staying away from smoking therefore provide important support in reducing overall risk.<\/p>\n If your blood pressure rises often or cannot be controlled despite medication<\/p>\n<\/li>\n If albumin\/protein has been detected in urine tests<\/p>\n<\/li>\n If eGFR is falling or creatinine is rising Why do diabetes and hypertension affect the kidneys? The kidneys have a filter system made up of very fine blood vessels that filter the blood. Long-term high blood sugar can damage this delicate structure, while high blood pressure increases the pressure inside the kidney and can accelerate the damage. When these two conditions occur together, […]<\/p>\n","protected":false},"author":0,"featured_media":50,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[],"class_list":["post-869","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-articles-en"],"_links":{"self":[{"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/posts\/869","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/comments?post=869"}],"version-history":[{"count":1,"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/posts\/869\/revisions"}],"predecessor-version":[{"id":875,"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/posts\/869\/revisions\/875"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/media\/50"}],"wp:attachment":[{"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/media?parent=869"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/categories?post=869"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/renmed.digitusajans.com\/en\/wp-json\/wp\/v2\/tags?post=869"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}1) Keeping blood sugar on target: the strongest protective step<\/h3>\n
2) Getting blood pressure under control: it relieves the kidney\u2019s filter<\/h3>\n
3) Reducing salt intake: moderate restriction, not \u201ccutting it out\u201d<\/h3>\n
4) A kidney screening at least once a year: early detection makes a big difference<\/h3>\n
5) If urine albumin is high, medication is planned with your physician<\/h3>\n
6) Smoking and lifestyle: small-looking steps have big results<\/h3>\n
When should you see a doctor?<\/h3>\n
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In these situations, nephrology\/internal medicine follow-up should be planned without delay.<\/p>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"