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Kidneys eliminate poisons from the body, and keep a normal balance of fluid and certain minerals in the body. When the kidneys can no longer perform this function, a person becomes very ill and ultimately dies.
In end-stage renal disease, the kidneys function at a fraction of their normal capacity. When this occurs, there are only two options: replace the job the kidneys are supposed to do by using a machine, instead (kidney dialysis) or transplant a new, healthy kidney. A single new kidney can do the work of the two kidneys.
Diabetes is the leading cause of end-stage renal disease. Kidney disease can result from type 1 or type 2 diabetes. With either type, poor control of blood sugar increases the risk of end-stage renal disease.
End-stage kidney disease (ESRD) is when the kidneys are no longer able to work at a level needed for day-to-day life.
The most common causes of ESRD in the U.S. are diabetes and high blood pressure. These conditions can affect your kidneys.
ESRD almost always comes after chronic kidney disease. The kidneys may slowly stop working over 10 - 20 years before end-stage disease results.

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