Diabetic Kidney Disease Care in the Portland Metro Area
Diabetic Kidney Disease (DKD), also called diabetic nephropathy, is one of the most common complications of diabetes and the leading cause of chronic kidney disease (CKD) and kidney failure worldwide.
The good news is that kidney damage from diabetes can often be slowed—or even prevented—when detected early and treated aggressively.
At Optima Kidney Care, we specialize in the early diagnosis and treatment of diabetic kidney disease. We combine the latest evidence-based therapies with personalized care to help preserve kidney function, reduce protein in the urine, and lower the risk of dialysis, cardiovascular disease, and other complications.
Led by Dr. Marilia Campos, a board-certified nephrologist, we care for patients throughout Sherwood, Portland, Tigard, Tualatin, Beaverton, Lake Oswego, West Linn, Wilsonville, and surrounding Oregon communities
How Diabetes Impacts Kidneys
Over time, high blood sugar levels damage the millions of tiny filtering units (nephrons) within your kidneys. When these filters are compromised, they begin to leak protein into the urine and lose their ability to remove waste from the blood. This process often occurs silently, meaning many people don't notice symptoms until significant damage has occurred.
Early stage damage often presents as microalbuminuria (small amounts of protein in the urine).
Persistent high blood pressure that becomes increasingly difficult to manage.
Swelling in the feet, ankles, hands, or eyes due to fluid retention.
SGLT2 Inhibitors
Advanced medication to protect the kidneys and heart while managing blood sugar levels.
Finerenone
A newer non-steroidal mineralocorticoid receptor antagonist proven to slow kidney disease progression.
Diabetic Kidney Care Services
ACE/ARB Therapy
Essential blood pressure medications that provide direct protection to the kidney filtering units.
GLP-1 Agonists
Innovative treatments that offer metabolic benefits and additional protection for cardiovascular and renal health.
Common Questions
What is Diabetic Kidney Disease?
Diabetic Kidney Disease (DKD), also known as diabetic nephropathy, is a chronic complication of diabetes where high blood sugar levels damage the kidneys' ability to filter waste from the blood. Over time, this can lead to kidney failure if not properly managed.
How does diabetes damage the kidneys?
Elevated blood sugar levels cause structural changes in the kidneys' tiny filtering units, known as glomeruli. This damage allows proteins to leak into the urine (proteinuria) and prevents the kidneys from effectively removing toxins and excess fluid from the body.
What are the symptoms of DKD?
In the early stages, there are often no symptoms. As the condition advances, you may notice fatigue, swelling in the feet or ankles, decreased appetite, and more frequent urination, especially at night. Screening is essential for early detection.
What treatments are available for diabetic kidney protection?
Treatment focuses on blood pressure and sugar control. We utilize advanced medications like ACE/ARB inhibitors, SGLT2 inhibitors, and novel agents like finerenone. Additionally, newer GLP-1 receptor agonists have shown significant benefits in slowing kidney damage.
Take Control of Your Kidney Health
Optima Kidney Care provides thoughtful, prevention-focused care for adults with diabetic kidney disease. Dr. Campos uses evidence-based treatments to slow progression and protect your health.
Contact Info
Phone: 503-749-9939
20055 SW Pacific Hwy. Suite 106, Sherwood, OR 97140