How does diabetes damage the kidneys?

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The kidneys contain millions of tiny blood vessels that filter waste products from the blood. "Diabetes causes damage to blood vessels both large and small, and the kidneys are very vascular structures, receiving 25% of all the blood pumped by the heart,” says David Hoffman, MD, a nephrologist on the staffs of Baptist, South Miami and Homestead Hospitals. “Diabetes most often occurs with hypertension, and together they account for two-thirds of kidney failure.”

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