Related Experiment Video
Updated: Sep 3, 2025

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Acute and chronic kidney complications in children with type 1 diabetes mellitus
Giulio Rivetti1, Brenden E Hursh2, Emanuele Miraglia Del Giudice1
1Department of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Via Luigi De Crecchio 2, 80138, Naples, Italy.
Insights
Children with type 1 diabetes mellitus (T1DM) face significant kidney risks, with acute kidney injury (AKI) at onset potentially leading to chronic kidney disease (CKD). Poor glycemic control further exacerbates long-term kidney damage in T1DM patients.
Area of Science:
- Pediatric Nephrology
- Endocrinology
- Diabetology
Background:
- Type 1 diabetes mellitus (T1DM) significantly elevates children's risk for kidney complications.
- Acute kidney injury (AKI) affects up to 65% of children at T1DM onset, serving as a precursor to chronic kidney disease (CKD).
Approach:
- This review synthesizes current knowledge on the renal effects of T1DM.
- It examines both the immediate and long-term impacts of diabetes on kidney health in pediatric populations.
Key Points:
- Early-onset AKI in T1DM is a critical risk factor for developing CKD.
- Subsequent poor glycemic control in T1DM is linked to diabetic kidney disease progression.
- Understanding these acute and chronic effects is vital for managing long-term kidney prognosis.
Conclusions:
- T1DM poses a dual threat to kidney function, with risks manifesting both at disease onset and throughout its course.
- Effective management of T1DM, particularly glycemic control, is crucial for mitigating kidney damage and preserving long-term renal health in children.
Abstract:
Children with type 1 diabetes mellitus (T1DM) have an increased risk of developing kidney involvement. Part of the risk establishes at the beginning of T1DM. In fact, up to 65% of children during T1DM onset may experience an acute kidney injury (AKI) which predisposes to the development of a later chronic kidney disease (CKD). The other part of the risk establishes during the following course of T1DM and could be related to a poor glycemic control and the subsequent development of diabetic kidney disease. In this review, we discuss the acute and chronic effects of T1DM on the kidneys, and the implications of these events on the long-term prognosis of kidney function.
Related Concept Videos
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease III: Interprofessional Care
Chronic Kidney Disease II: Clinical Manifestations
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Acute Kidney Injury V: Interprofessional Care
Acute Kidney Injury I: Introduction

