Diabetic Kidney Disease Treatment in India

Vihaan Patel, a 58-year-old restaurant owner,...

Vihaan Patel, a 58-year-old restaurant owner, had managed his Type 2 diabetes for 15 years with oral medication. A recent routine check-up revealed a creeping rise in his blood pressure and a blood test showing elevated creatinine levels. His primary care doctor noticed protein in his urine (microalbuminuria) and referred him to an endocrinologist, Dr. Sharma. Vihaan felt fatigued and had noticed subtle swelling in his ankles, but had blamed it on long hours on his feet. Dr. Sharma confirmed a diagnosis of Diabetic Kidney Disease (DKD) at an early stage (Stage 3a). She recommended a multi-pronged approach: starting an SGLT2 inhibitor medication specifically proven to protect the kidneys, tightening his blood sugar and blood pressure targets, and implementing a strict low-sodium, plant-forward diet. The treatment experience was challenging; Vihaan struggled with the dietary changes, missing the flavors of his own cooking, and initially found the new medication routine daunting. However, with support from a diabetes educator and a dietitian, he adapted. Six months later, follow-up tests showed his kidney function had stabilized, and the protein leakage had significantly decreased. Emotionally, Vihaan was initially in denial and fearful of dialysis, seeing it as an inevitable end. After the diagnosis, he felt a profound sense of responsibility to protect his health for his family. The successful stabilization brought immense relief and a renewed sense of control, transforming his fear into motivation to maintain his new regimen.