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Kidney disease is a common diabetes complication, but they don't have to necessarily go together. If caught early, kidney disease can be managed, and the damage minimised. This can allow a person with mild kidney disease to live for a long time without needing more aggressive treatments, such as dialysis.

If kidney disease becomes advanced, kidney failure eventually occurs. When this happens, a person must undergo regular dialysis, or receive a new, transplanted kidney, in order to survive.

The keys to kidney care

There are two very important ways to reduce kidney disease risk and delay the progression to kidney failure if disease is already present:

• Maintain blood glucose values in the target range
• Maintain healthy blood pressure

Nothing is more important to kidney health than these two goals.

What else

Some people may also benefit from special diets. For example, your doctor may prescribe a low-protein diet, and suggest you work with a dietitian to help you follow it. You may need to cut back on salt (sodium), and limit intake of other minerals, such as phosphorus or potassium.

Finally, ask your doctor about dietary supplements that may help manage blood sugar levels, such as magnesium, chromium, fenugreek, and glucomannan, psyllium, and other fibre products.

If you or your loved one has diabetes or kidney disease, self-care changes should be made only under the guidance of a healthcare professional.