Diabetic & hypertensive kidney disease
Diabetes and high blood pressure are the two most common causes of kidney disease in India. Damage builds slowly and silently, so regular urine and blood tests matter even when you feel well.
Kidney care for people living with diabetes, high blood pressure, kidney stones and chronic kidney disease — explained clearly, in Gujarati or Hindi.
Mon–Sat · 10 AM–1 PM & 5 PM–8 PM211, The Crown, Nr. Gangotri Circle, Nikol
Dr. Ridham Patel is a nephrologist: a physician who looks after the kidneys and everything they affect, from blood pressure to the balance of salts in the body.
He trained in internal medicine (MD) before completing his DrNB in Nephrology, and has been in practice for eight years. Much of his work is with people whose kidneys are affected by long-standing diabetes or high blood pressure — where the first sign is often a single report that worries the family.
He also sees patients with kidney stones, urinary infections and sudden kidney injury, and supports those who need dialysis or are preparing for — or living after — a kidney transplant. At Divine Kidney Care in Nikol, the approach is simple: understand where the kidneys stand today, explain it plainly, and build a plan the patient and family can follow.
“Most families arrive afraid of one word — dialysis. The first thing I do is show them where their kidneys actually stand, and what we can do about it together.”
— Dr. Ridham Patel Suggested philosophy line — doctor to approve
Diabetes and high blood pressure are the two most common causes of kidney disease in India. Damage builds slowly and silently, so regular urine and blood tests matter even when you feel well.
A gradual, long-term loss of kidney function. With steady follow-up — the right medicines, blood pressure and sugar control, diet guidance and regular tests — its progression can often be slowed.
A sudden drop in kidney function — sometimes after a severe infection, dehydration, certain medicines or surgery. It needs prompt assessment; with timely treatment, kidney function often improves.
Beyond easing the episode, we look at why stones form — fluids, diet and urine chemistry — to lower the chance of new ones. When a stone needs removal, Dr. Ridham coordinates with a urologist.
Infections of the bladder or kidneys. Repeated or complicated infections — especially alongside diabetes or stones — deserve a closer look, to treat them well and protect the kidneys.
A creatinine value, a urine report or an ultrasound is a good starting point. Call or WhatsApp us and our team will help you book the right consultation.
Procedures are carried out in a hospital setting with full monitoring. Dr. Ridham explains why each one is needed, what happens on the day, and how care continues afterwards. Confirm where each procedure is performed
A tiny sample of kidney tissue, taken with a fine needle under ultrasound guidance and local anaesthesia. It shows the exact cause of kidney disease, so treatment can be chosen with confidence.
A soft tube placed into a large vein — usually in the neck — so dialysis can begin promptly when it is needed urgently, for example during acute kidney injury.
A tunnelled, cuffed catheter placed under the skin of the upper chest for longer-term dialysis — often used while an AV fistula is being planned or is maturing.
Evaluation before a transplant, working alongside the transplant team, and long-term follow-up afterwards — including anti-rejection medicines and regular monitoring of the new kidney. Confirm transplant scope
| Temporary catheter | Permanent catheter | AV fistula | |
|---|---|---|---|
| What it is | A soft tube in a large vein of the neck or groin | A tunnelled, cuffed tube under the skin of the chest | An artery and vein joined in the arm by a surgeon |
| Typically used | Days to a few weeks | Weeks to months | Long-term dialysis |
| Good to know | Lets dialysis start quickly when it’s urgent | Often bridges the time while a fistula matures | Needs a few weeks to mature; usually preferred for long-term haemodialysis |
Kidneys can lose a good deal of function before you feel unwell. These signs are worth discussing with a doctor — especially if you live with diabetes or high blood pressure.
eGFR — estimated glomerular filtration rate — shows roughly how well your kidneys filter blood. It is calculated from your creatinine, age and sex, and is used to describe the stage of chronic kidney disease.
Normal filteringCKD is diagnosed here only if there are other signs of kidney damage, such as protein in the urine.
Mildly reducedUsually no symptoms. Control of sugar and BP matters most.
Mild to moderateRegular monitoring and a review of medicines become important.
Moderate to severeCloser follow-up; diet guidance and complications are checked.
Severely reducedA good time to discuss future options calmly, well in advance.
Kidney failureDialysis or transplant may be discussed, based on symptoms and tests.
Many families come to us worried about dialysis. Here’s what is true — and what isn’t.
The decision depends on overall kidney function, symptoms and several tests — not a single number. Many people with chronic kidney disease are managed for years with medicines, diet guidance and regular follow-up.
In acute kidney injury, dialysis may be needed only for a short time while the kidneys recover. In advanced chronic kidney disease it is usually long-term. Your nephrologist will explain which applies to you.
The session itself is usually not painful. Needle insertion or catheter care can cause brief discomfort, which the dialysis team helps manage.
Many people on regular dialysis continue to work, travel and spend time with family, with some planning around their sessions.
Call or WhatsApp +91 90162 02021 to choose a morning or evening slot, Monday to Saturday.
Recent reports, your medicine list and any discharge summaries help us make the most of your time.
Dr. Ridham reviews your history and reports, examines you, and explains where your kidneys stand — in Gujarati or Hindi.
Clear next steps: tests if needed, medicines, diet guidance, and when to come back for follow-up.
A family member is always welcome to join you. 💙
Still unsure about something? Ask us — our team will help, or note it for Dr. Ridham to discuss at your visit.
Ask on WhatsAppA nephrologist is a physician who treats medical conditions of the kidneys — chronic kidney disease, kidney damage from diabetes or blood pressure, kidney infections, salt and fluid imbalances, dialysis and transplant care. A urologist is a surgeon who treats structural problems of the urinary tract, such as removing stones or operating on the prostate. The two often work together.
Yes. Early kidney disease rarely causes symptoms. A yearly urine test for protein (urine albumin) and a blood test for creatinine (eGFR) are generally advised for people with diabetes or high blood pressure.
Not necessarily. Creatinine is one part of the picture. The need for dialysis depends on overall kidney function, symptoms and other blood tests. Many people with raised creatinine are managed with medicines, diet guidance and regular monitoring — Dr. Ridham will explain what your numbers mean for you.
It depends on the cause. Acute kidney injury may improve, partly or fully, with timely treatment. Chronic kidney disease is usually long-term, but its progression can often be slowed with good blood pressure and sugar control, the right medicines and regular follow-up.
Both give access to the blood for haemodialysis. A permanent (tunnelled) catheter is a soft tube placed under the skin of the chest into a large vein, and can be used soon after it is placed. An AV fistula is made surgically by joining an artery and a vein in the arm; it takes a few weeks to mature and is usually preferred for long-term dialysis. Dr. Ridham will advise which suits you, and when.
Yes. Dr. Ridham looks at why stones form and how to lower the chance of new ones — through tests, fluids, diet and, where needed, medicines. If a stone has to be removed, he coordinates with a urologist.
Your recent blood and urine reports, any ultrasound or scan reports, discharge summaries, a list of current medicines (or the strips themselves), and home sugar and BP records if you keep them. A family member is welcome to come along.
Dr. Ridham is empanelled under Ayushman Bharat (PM-JAY), CGHS and the state health scheme. What is covered depends on the treatment and the hospital where it is done, so please call or WhatsApp us with your card details before your visit.
Confirm scheme wording with the doctor
Monday to Saturday, 10 AM–1 PM and 5 PM–8 PM. Consultations are in Gujarati or Hindi. Booking ahead by phone or WhatsApp helps us keep your waiting time short.
Passing very little or no urine, severe breathlessness, confusion, chest pain or fainting need urgent care. Please go to the nearest hospital emergency department or call 108 — don’t wait for a clinic appointment.
Book by phone, WhatsApp or online. Your slot is confirmed once our team replies.
| Monday – Saturday | 10:00 AM – 1:00 PM |
| Monday – Saturday | 5:00 PM – 8:00 PM |
| Sunday | Closed |