Do all diabetic patients develop Chronic kidney disease?
Only 30 to 40% of type 1 or type 2 diabetics develop kidney disease. In diabetic patients with albuminuria and the presence of other diabetic complications, the cause of the underlying kidney disease is often presumed to be diabetic nephropathy and a kidney biopsy is not performed.
If there are unusual features to the kidney disease such as red blood cell casts, nephropathy early in the course of diabetes, or rapid progression of kidney disease, then a biopsy may be warranted.
In some studies, half of type 2 diabetic patients have kidney disease due to diseases other than diabetes.
