One of the main causes of renal disease is this

High blood glucose, also referred to as blood sugar, is one of the main causes of kidney disease because it may erode the blood vessels in your kidneys over time. The kidneys’ ability to adequately eliminate waste materials and excess fluid from the body is compromised when blood vessels inside the kidneys are damaged. We refer to this disease as diabetic nephropathy. High blood pressure is common in diabetics, and it may exacerbate kidney disease by increasing pressure within the kidneys’ filtration mechanism.

When a patient’s kidneys can no longer keep them in a relatively healthy condition, they are said to have end-stage renal failure, also known as kidney failure, and may need dialysis or a kidney transplant. It happens when your kidney function is barely 10–15%.
Protein in the urine, high blood pressure, swelling in the hands, feet, ankles, or eyes, leg cramps, foamy urine, higher frequency of nighttime bathroom visits, elevated blood levels of BUN and creatinine, dyspnea, nausea, vomiting, paleness, anemia, and itching are all indicators of kidney disease in diabetics. Diabetic nephropathy may result in high blood pressure, pulmonary edema (a accumulation of fluid in the lungs), arm and leg swelling, and other consequences if symptoms are not addressed.
Diabetic nephropathy may be more likely in those who have diabetes due to uncontrolled hyperglycemia (high blood sugar), unmanaged hypertension (high blood pressure), smoking, high blood cholesterol, obesity, and a family history of the condition.
“People with diabetes are recommended to have their blood, urine, kidney function test, and blood pressure checked at least once a year,” said Dr. Shri Ram Kabra, Director of the Department of Nephrology & Kidney Transplant Medicine at Marengo Asia Hospital in Faridabad. Better management of your condition as well as early therapy for renal and high blood pressure problems may come from this. Keeping your diabetes under control might reduce your chance of having serious kidney damage.

You can be recommended to have hemodialysis, peritoneal dialysis, or a kidney transplant if your kidneys have failed.
In order to reduce your chance of developing diabetic nephropathy, you should do the following:
Maintain control of your diabetes
Maintain a healthy weight by engaging in frequent exercise.
Steer clear of high-protein diets and monitor your daily intake.
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Refrain from self-medication, especially with pain relievers, since these medications might harm your kidneys if used in excess.
Additionally, regulate your blood pressure.
Refrain from smoking or cut down on it since cigarettes may harm your kidneys or exacerbate pre-existing renal problems.
Vigorous activity should be avoided by patients with diabetes-related kidney failure since it may raise the amount of protein in their urine. You shouldn’t run; instead, you should take a typical, brisk stroll.
Patients with diabetes should continue to get a urine test once every six months.
Patients with diabetes who also have renal difficulties should consume tinda, ridge gourd, pumpkin, and other non-citrus foods instead of citrus foods like lemon, sweet lime, orange, tomato, gooseberry, etc. since these foods may raise blood potassium levels. The majority of pulses and grams should not be consumed. Only moong dal, arhar dal, and masoor dal may be given to them. You may have fresh fruits like apples, papayas, and pears in place of citrus fruits.
Eat dry fruits as directed by a nutritionist or doctor.
Take your medications as directed by your physician on a regular basis.
Reduce consumption of processed and salty foods.
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