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When we physicians first notice that the kidney is being damaged in diabetes, we try and make measures to tighten the control of the diabetes on the patient. ItÕs important for the patient to stay well hydrated so that the kidney is flushed all of the time. Then, as we noted before: we may start on medication, which can decrease the rate of progression. Once the process gets rolling and the patient develops quite severe damaged kidneys, then the treatment is dialysis to take over for the kidney and eventually transplantation for the patient to have a new kidney.