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Diabetic kidney disease, or diabetic nephropathy, is a complication of type 1 or type 2 diabetes caused by damage to the kidneys' delicate filtering system. Your kidneys contain millions of tiny blood vessel clusters (glomeruli) that filter waste from your blood.
Diabetic nephropathy is the leading cause of kidney disease in patients starting renal replacement therapy and affects â¼40% of type 1 and type 2 diabetic patients.