Some patients can manage their diabetes with weight loss and changes in their diet. Others require medication, and many with DM 2 eventually require insulin. Onset is gradual, and patients may be sick for quite some time without knowing it. Patients in stage 2 excrete more than 30 mg of albumin in the urine over a 24-hour period. Glomerular damage has progressed to clinical albuminuria.
Glomerular damage continues, with increasing amounts of protein albumin in the urine.
Almost all patients have hypertension at stage 4. Some patients advance through the stages very quickly. Find a nephrologist near you. Join a live chat or threaded forum. All Rights Reserved Contact the webmaster with any technical issues.