Symptoms

In the early stages of diabetic nephropathy, you would most likely not notice any signs or symptoms. In later stages, signs and symptoms may include:

• Worsening blood pressure control
• Protein in the urine
• Swelling of feet, ankles, hands or eyes
• Increased need to urinate
• Reduced need for insulin or diabetes medicine
• Confusion or difficulty concentrating
• Shortness of breath
• Loss of appetite
• Nausea and vomiting
• Persistent itching
• Fatigue

When to see a doctor

Make an appointment with your doctor if you have any signs or symptoms of kidney disease. If you are living with diabetes, visit your doctor yearly — or as recommended — for tests that measure kidney function.