In the early stages of diabetic nephropathy, you would most likely not notice any signs or symptoms. In later stages, signs and symptoms may include:  Worsening blood pressure control Protein in the urine Swelling of feet, ankles, hands or eyes Increased need to urinate Reduced need for insulin or diabetes medicine Confusion or difficulty concentrating Shortness of breath Loss of appetite Nausea and vomiting Persistent itching Fatigue 
early stages diabetic nephropathy  likely notice signs symptoms  later stages  signs symptoms may include:  worsening blood pressure control protein urine swelling feet  ankles  hands eyes increased need urinate reduced need insulin diabetes medicine confusion difficulty concentrating shortness breath loss appetite nausea vomiting persistent itching fatigue 
diabetic nephropathy