4.8.4.0 Di­a­bet­ic Kid­ney Dis­ease

Phys­i­cal ac­tiv­i­ty can acute­ly in­crease uri­nary al­bu­min ex­cre­tion. How­ev­er, there is no ev­i­dence that vig­or­ous-‍in­ten­si­ty ex­er­cise in­creases the rate of pro­gres­sion of di­a­bet­ic kid­ney dis­ease, and there ap­pears to be no need for specific ex­er­cise re­stric­tions for peo­ple with di­a­bet­ic kid­ney dis­ease in gen­er­al (158).