Category Archives: Diabetes

I just received my MRI results for my lower back. Included in the report a notation about cortical cysts on right kidney. I have had fatigue, raised blood pressure, currently on medication for diabetes and other related symptoms to PKD. I am the daughter of a positive hep c paternal father who infected my mother and carried to fetus. I have never been tested. I have had two surgeries to remove bladder cysts, they were benign but I was still given an interferon wash internally. In a previous sonogram I learned that I had an enlarged liver. Dr. did not seem alarmed at that time. I do not know where to begin first. I am very scared and lost.

I am unable to provide a specific diagnosis based on the information that you provide.  I suggest that you contact your primary care physician (PCP).  When there are a number of issues to deal with, I find it best to … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Polycystic Kidney Disease, Diabetes, Laboratory Testing, Treatments

Hello Doctor, My query is for my Mom. She is around 55 yrs of age, having diabetes and BP. Recently we took CT scan, and we came to know that she is having kidney stone in her left side. The report says “39×28 mm sized large branching calculus is seen in left renal pelvis, extending into lower calyx. Upper and middle calyxes are dilated and clubbed.” My query is what type of treatment required to remove it? Is it possible to remove the stone using “Lithotripsy”? Pls comment on it. She is diabetic but due to a controlled diet she is having 128 value after 2 hrs of breakfast. Though sugar is under control, would like to avoid going to surgery or Tunnel Surgery (Percutaneous Nephrolithotomy). Advance thanks for your reply.

The question that you ask is a urological question.  I am a nephrologist and have no expertise in regards to the surgical treatment of kidney stone disease.  I suggest that you consult with a urologist, who is a surgeon. For … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Treatments, Urological Issues

My father has diabetes but it is controlled now. His creatinine level was 5.4 four months ago. Now it is 4.2 after taking treatment. Is it a sign of improved kidney functioning than before? But this protein level is now 150 which was 52 before. Potassium level is 5.9 now. He is 57 years old. I want to know that is it possible to reverse this process to normal stage?

I am unable to make a specific diagnosis based on the information that you present.  Your father should be carefully monitored by his physician.  There may be some room for improvement, but I cannot provide a prognosis based on the … Continue reading

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

I am a 47 year-old white male, non-smoker since 1997, occasional drinker, BP controlled w/5Mg lisinopril and no diabetes. On January 31, 2017 I had a checkup. My bloodwork revealed a 2.3 Creatinine level with a 36 BUN and microscopic hematuria. I was on a higher protein diet for the 30 days previous to this test. I returned a week later (after moderating my protein intake) for a retest and my numbers had dropped to 1.8 creatinine and 26 BUN. A subsequent test yesterday revealed a Creatinine level of 1.7 and Bun of 38. Dry CT (no contrast since my GFR was 43) of abdomen and pelvis revealed a thickened bladder. Having a cystoscopy in the near future. Is there hope to be found in the fact that my creatinine levels keep declining? If I have an underlying bladder obstruction/issue that is resolvable, is it possible that my kidney function could improve? Or are they simply damaged to the point they are now and I need to nurse them through the rest of my life? UPDATE: Cystoscopy checked out normal, Renal Ultrasound checked out normal, but cytology showed atypical cells in urine. Provided a “1st morning” urine sample today for additional testing. Question: If my kidneys are checking out as normal on these tests and my urinary tract appears clear, why is my GFR so challenged? Nephrologist appointment on 3/20, but I am itching for answers.

I am unable to provide a specific diagnosis based on the information that you provide.  The blockage that may have been present could have caused kidney injury that can take some time to resolve.  I suggest that you wait for … Continue reading

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

Sir, I am aged 67 years. I am diabetic since 34 years. I am having BP since 20 years. I am on insulin & my BP and sugar level is under control. During Dec 2015 I went for regular check up and during check up it was revealed that my creatinine was 1.6. Doctor informed that nearly 50% of my kidney is damaged and advised me to be on medicines. I am following the doctors advice. Till this day creatinne level is the same. My question is that weather damaged kidney can be cured?

It is not usually possible to reversed chronic kidney damage once it has occurred.  The goal of treatment is to slow the loss of kidney function and not necessarily to reverse the damage.  Damage that occurs in chronic kidney disease … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

My question concerns my 60 year old boyfriend who has type 2 diabetes. He currently takes metformin and jardiance. His blood sugar right now is 300. He is a smoker but not a drinker. 1. He has lost weight – aprox.10 lbs. a year in the past 5 years and is very thin. 2. He pees a lot every day and gets up in the middle of the night to pee also. 3. He also poops a little every time he pees. 4. He has to lay down several times a day. 5. No sex drive at all in approx 3 years. 6. Cranky, irritable and not nice to be around. 7. Most of his time spent watching TV for the past year. Are there any specific tests he can take to identify what is wrong? What do you recommend? Does any of this seem intestinal? Prostate? Can it be thyroid or hormones or his medications?

I am unable to provide a specific diagnosis based on the information that you present.  There are many complications of Type 2 diabetes mellitus that must be monitored.  I suggest that your boyfriend be examined by his physician.  You should … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, Diet/Nutrition, Laboratory Testing, Symptoms and Side Effects, Treatments

I have diabetes and hbp; kidney function was at 90 one year ago. I just went to the doctor for routine tests and gfr is now 50; of course I am very anxious to do what is needed to improve. If I really exercise and eat super – correctly can the gfr improve?

In most cases, once kidney function is lost, it cannot be recovered.  This is true for chronic kidney disease (CKD) but in some cases acute kidney injury can be reversed.  I suggest that you consult with your physician and follow … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Treatments

I from Nigeria. My father is sick. According to the doctor, he was diagnosed with diabetes but according to what I read from your article I thought it may be more than that because his feet and stomach swell up and his body is getting smaller. So I want know if this is a case of diabetes or kidney problem?

I am unable to make a specific diagnosis based on the information that you present.  Your father should be seen by a physician for a specific diagnosis.  Diabetes and kidney disease can both occur in the same person. For more … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects

How do you treat CKD patients with atherosclerotic disease of the left common carotid artery? What medications do you give to treat the atherosclerotic disease?

Hardening of the arteries (atherosclerosis) is a disease of blood vessels associated with high blood pressure and elevated blood cholesterol levels.  It is also passed down in families and is thought to be related to genetics.  The treatment in patients … Continue reading

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

I am a 74 year old female and have hypertension and borderline diabetes. My A1C was 6.0 in Nov. 2016. I had a kidney stone and treated with Lithotripsy in May 2016. I made a return visit to my urologist last week with L. flank pain and had a CT Scan done. While the scan did not show a stone on the left side, it did reveal swelling in the tube below my right kidney. My urologist said I should have a procedure done with contrast so he can determine the cause of the swelling. My concern are the risks involved and if its a necessity to have this procedure done? Any idea as to what causes swelling in the tubes? Thank you in advance for your input.

I am unable to make a specific diagnosis based on the information that you present.  If your kidney function is otherwise normal, the risk of contrast is very low.  I suggest that you follow the advice of your urologist. For … Continue reading

Posted in Ask the Doctor, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Disease