Category Archives: Diabetes

Doc, Three years ago I had kidney failure. My creatinine level was 10. I had no pain or illness, just out of my mind. Kidney Doc determined use of NSAIDs, Aleve, metformin, lisinopril made a perfect storm. Since, my creatinine levels have remained 1.0-1.04. No higher. I’m a 58 yo male, 5’9” 150 pounds. I’ve haven’t taken anything NSAIDs, metformin, and only 5mg lisinopril daily. I’m Type 2 diabetic. I have to take morphine sulfate 15mg x 3 and 10mg Oxycodone x 2 daily for chronic pain due to combat injuries. My kidney doc stated he moved me to stage 2 two years ago only because he couldn’t just move me from 3 to 1 automatically. Can I be considered cured? I long to drink a cold beer on a hot day.

After an episode of acute kidney injury, there is often residual kidney damage that has been done. I cannot determine if your kidney function is back to normal based on the information that you present. I suggest that you continue … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, GFR, Kidney-Related Health Questions, Serum Creatinine

My mother passed away in the middle of dialysis. I have been in stage 3 kidney failure for some time. The only reason I know this is from my tests results. Last test done June 28 shows creatine 1.36 and GFR 39. None of my doctors have addressed my kidney function with me and I am wondering why? I have HBP with congestive heart failure, emphysema and type 2 diabetes. Shouldn’t I be on some kind of program to help stop the loss of kidney function?

I am unable to make a specific diagnosis based on the information that you present. In most cases, it is not possible to completely stop the loss of kidney function.  There is a normal loss of kidney function that occurs … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions

Hello doctor. I want to ask about my mom. She has a stone in the left kidney which has been removed but after some tests it has been configured that her left kidney is working only 20%. So doctors are advising to remove the left kidney because they consider 20% working as 0%. She also has diabetes & blood pressure problems. So please give some advise on what should we do? Should we operate or is there any other options like medications so that kidney can be healthy again and work properly.

The problem that you pose is a urological problem and a surgical problem. I am a nephrologist and do not perform any surgery. A urologist is a surgeon and advises about indications for surgery and kidney stone disease. In most … Continue reading

Posted in Ask the Doctor, Diabetes, Hypertension/High Blood Pressure, Kidney Stones, Kidney-Related Health Questions, Urological Issues

Hi doctor. I want to ask you about my mom. She has kidney problem for the last 2 years. She also has heart problem and diabetes. She is taking medicines regularly for kidney. She is taking revlamar 800 in India. Her recent test results are: creatinine 5.1, hgb 9.00, phosphorus 5.00, cholesterol 150.00. sugar fasting 72 fasting, blood urea 150.00, blood urea nitrogen 70.00, sodium 130.00, chloride 90.00. I need your advice for her. She is 62 yrs old. She does not want to do dialysis. I am eagerly waiting of your reply. Thanks.

I am unable to provide a specific diagnosis regarding your mother’s kidney disease. Heart diseases, high blood pressure and diabetes are the three most common associations with chronic kidney disease (CKD). I am not able to give medical advice without … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist

Hi, I was diagnosed with kidney failure in Nov and have been receiving hemodialysis 3 times a week 4 hours each time. I saw my provider the day after treatment and asked him to check my urine as I am still urinating and it feels like all that is a concern in the Center was fluid. The test results showed I had a creatinine level of 198 and an albumin level of 858. My Doctor told me to ask why I am dumping protein in my urine. I am also a type 2 diabetic and have been in control until the last couple of weeks where my fasting surges are up around 178, they have been 110 and Below before. I ask questions but no one seems to answer me. I need to have at least an idea if I can fix it. I don’t retain fluid but that is all anyone is worried about.

Patients on dialysis commonly continue to make urine. Hence, making urine is normal for a dialysis patient. Patients with kidney disease and especially diabetic kidney disease commonly spill protein in their urine. I am unable to make any other diagnosis … Continue reading

Posted in Ask the Doctor, Diabetes, Dialysis, Kidney-Related Health Questions, Nephrologist

I am a 63 yo WF with hx of HTN secondary to primary aldosteronism. Also have Diabetes, hypothyroidism, & past hx of 10 cm ovarian cyst. Family hx studded with Diabetes & CV disease. Maternal GF died of kidney failure/Diabetes. Previous Creatinine early this year = 2.3 (Metformin d/c’d) & on 5/7 Creatinine = 1.30, BUN = 26, & GFR = 44. PCP & endocrinologist do not appear not to be concerned with results. Will lab values continue to improve until normal or are we beyond that point (especially with family hx)? What are your thoughts? Thank you very much.

I am unable to determine a prognosis based on the information that you present. It would appear that you have chronic kidney disease (CKD) and this is likely not completely reversible disease. I do recommend that you have regular testing … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Kidney-Related Health Questions

I am 63 y/o F w/ multiple endocrine problems to include diabetes T2 & strong family history of both diabetes & CV issues. Maternal GF died of kidney failure secondary to diabetes. 11/17 Creat was 2.3 & this past April BUN=26, Creat=1.30, & GFR=44. PCP concerned when Creat=2.3, but does not appear to be worried with April’s results. What are your thoughts & should I be more proactive in pursuing this? Thank you.

The fall in your serum creatinine from 2.3 milligrams per deciliter (mg/dl) to 1.3 represents an improvement in your kidney function. That is certainly a welcome finding. I would also recommend that you have testing of the urine for blood, … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Serum Creatinine

Pateint is a diabetic and recently had a minor heart attack. The urea level is 130 and Creatinine level 2.4, urine looks a bit concentrated. Is this recoverable and can only be dealt with medicines?

I am unable to make any specific diagnosis based on the information that you provide. I can only suggest that you consult with physicians in your country to determine the cause of the kidney disease and monitor the recovery. Diabetes … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Diabetes, Kidney-Related Health Questions

Hello Doctor, I am a 59 yrs female, diabetic and with hbp since very young. Please explain my lab with a normal creatinine and albumin in urine and a high 161.2 albumin/creatinine ratio. What does this mean? Thank You.

The finding of abnormal amounts of albumin in the urine (albuminuria) is evidence that damage has been done to the filters of the kidney (known as glomeruli). It does not tell you what caused the kidney damage. Diabetes and high … Continue reading

Posted in Ask the Doctor, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I had diabetes for about 3 to 4 years prior to 4 years ago and since 2014 I have been maintain a solid situation from free of diabetes with proper western medicine, diet control and exercises etc. In all tests done it read my MOL was around 6%. However nearly 1 year ago my doctor referred me to a medical test to check my kidney function and there I was found that my Creatinine level was 121 and estimated GFR was 57. (I am 62 years of age) Thereafter my kidney was scanned and the doctor found nothing much adverse there. However, with better blood pressure control, sugar and cholesterol control with diet control, this situation improved. The latest medical check denoted my Creatinine Level was 108 and GFR was 64. Is this situation OK.

It appears that your kidney function may be stable or slightly improved.  I also recommend that you have urine testing performed for protein and albumin.  This test is also important for monitoring kidney disease in patients with diabetes.

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, Kidney-Related Health Questions