Questions about urine

  I am a 39 year old male who has been a type I diabetic 22 years.
  For the last week I have noticed that every time I go to urinate
  it always comes out dark yellow, and very foamy. This use to be
  a once in the morning color with the rest of the day being clear
  with no foam, but now it is everytime I go!
  The only other side effect I have been experiencing is a constant
  itching and pain of my uper left back and shoulder area.
  Could I be experiencing troubles with my kidney?
  It has me worried.
  Thank You: Kim Eugene Hill
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Dear Kim
Diabetes Mellitus can effect the urinary tract in many ways.  Problems with erectile dysfunction, retrograde ejaculation, urinary tract infections, voiding dysfunction, and kidney decreased function are possible.  In your case, foamy urine is often associated with elevated protein levels in the urine.  Protein is spilled in the urine with certain types of renal (kidney) damage.  
You should visit your physician so that a urinanalysis can be performed.  This can rule out an infectious cause for the foamy urine, and identify if protein is present.  If the protein is present, a 24 hour urine collection can be performed to quantitate the degree of protein in the urine.  If this degree is high enough referral to a nephrologist (medical doctor specializing in kidney disease) should be consulted.
More individualized care is available at the Henry Ford Hospital and its suburban campuses at  (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians