1) diabetic kidney disease with anemia due to chronic kidney disease 2).reasons for • azotemia-elevated glucose levels increase the speed of blood flow into the kidney, lowering the filtration time . • anemia- reduced erythropoietin levels Low EPO levels cause red blood cell count to drop and anemia to develop. • hypoalbuminemia-changes in podocytes effacement cause albumin to filter leading to hypoalbuminemia In glomeruli, there is mesangial expansion, thickening of the basement membrane, and, characteristically, nodular glomerulosclerosis • acidosis-Healthy kidneys remove acid from the body through urine and they keep the right amount of bicarbonate (base) in the blood. But in CKD, the kidneys can’t remove enough acid, which can lead to metabolic acidosis For people with CKD, metabolic acidosis is defined as persistently low bicarbonate levels of less than 22 mEq/L in the blood. ...