Although diabetes is the leading cause of kidney disease, the majority of people with diabetes do not develop kidney disease, and its onset can be delayed or prevented. Studies show that one of the most effective ways to prevent diabetic kidney disease is with intensive blood sugar management. People who monitor and manage their blood sugar on a consistent basis substantially reduce their risk for developing diabetic kidney disease. Blood pressure medicine can also help prevent the onset of diabetic kidney disease, a complication of diabetes. The risk of developing diabetic kidney disease can be reduced by following a physician's advice regarding the management of diabetes and its complications.