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What are the signs of diabetic kidney disease?

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The earliest sign of diabetic kidney disease is increased protein in the urine.10 You should be screened for the presence of protein in the urine annually.8 If you have type 2 diabetes, you should also be screened when you are first diagnosed with diabetes.4 Having this test performed is cucial, because tiny protein particles appear in the urine during the initial stages of kidney disease, and the disease can normally be treated at this point.8

An annual creatinine blood test will show how well your kidneys are working.4

Because your body retains more unnecessary water and salt, kidney disease can also lead to weight gain and ankle swelling. Other early signs include having to go to the toilet more at night, and having an increased blood pressure.10