In people with diabetes, kidneys, eye, nerves, and heart are the commonly affected organs. The prevalence of chronic kidney disease in India is found to be 15-17% according to the latest statistics. Diabetes is the leading cause of kidney disease which can progress to a stage which requires kidney transplantation or dialysis. In people with diabetes, it has been reported that about 25-40% will develop diabetic kidney disease (DKD) over a 25-year period. People with DKD can have a higher risk of heart disease and stroke. With better management of blood glucose and blood pressure, the risk of developing DKD has reduced. Despite the availability of new medicines and good diabetes care, DKD is still the leading cause of dialysis in the community.