Category Archives: Diabetes

Do you believe that artificial sweeteners such as Aspartame and Sucralose (Splenda) cause kidney damage and, if so, to what extent do they contribute to kidney disease?

I have not come across any information that artificial sweeteners such as Aspartame or Sucralose are directly toxic to the kidneys. There is some information about these sweeteners actually promoting weight gain and diabetes that is associated with kidney disease. … Continue reading

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

I am 71 years old, one kidney (nephrectomy at 36 due to cancer), eGFR bounces between 26-34, Type II diabetic with A1C of 5.8. I have extremely painful leg cramps at night. Can I take magnesium to decrease the cramps without causing kidney damage?

Magnesium is a supplement that should be safe to take and often will relieve some common leg cramps. Magnesium does not cause kidney damage, but if you take too much magnesium, your legs and muscles can become very weak. I … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, Diet/Nutrition, Herbal Supplements in Kidney Disease/Failure, Kidney-Related Health Questions

My mother has recently gotten an eGFR reading of 19. She has diabetes that she has been given medication for but was never monitored for kidney failure. What steps should be taken immediately to prevent it from going below 15 (kidney failure)?

If your mother’s kidney disease has already progressed to Stage 4 chronic kidney disease (CKD) with an estimated glomerular filtration rate (eGFR) of 19 milliliters per minute per 1.73 meters squared, then there is likely no way to reverse the … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Function

My uncle diagnosed of acute CKD. He’s a known diabetic and hypertensive with background RVD. 3 months ago his creatinine was 3.8 mg/dl and urea was 114 mg/dl, PCV 28% and he rejected dialysis, so I started him on Lasix IV 80mg, normal saline 1 litre, iron sucrose 100mg and epo 4000 IU twice weekly for 3 months, and the urea and creatinine dropping with the treatment on weekly basis and PCV also increasing weekly till urea and creatinine became 45mg /dl and 1.6 mg/dl, respectively, and PCV 38% and I stopped the treatment for two weeks and creatinine shot up to 2mg/dl with urea 55mg/dl and PCV 35%. Please, what do we have to do?

I am not able to recommend medical treatment without performing a complete history and physical examination. Your uncle should be seen by a nephrologist. It is first necessary to determine if his kidney disease is related to his diabetes and … Continue reading

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

I am a 58 year old with type 2 diabetes, hypothyroidism, and severe arthritis. Spinal Stenosis; which I have been taking Ibuprofen 800 twice a day for. I have been taking Jardiance, Metformin, Glipizide, Pioglitazone and Wellbutrin. I don’t smoke or drink. I was just informed that my kidneys were only working at 51 percent. The doctor offered no information and I have no idea where to go from here. Am I destined for dialysis? I would like your opinion on taking all these diabetes meds at once?

The Ibuprofen that you are taking directly decreases kidney function. I would suggest that you review this medication and any other over the counter medication that you may be taking with your primary care physician (PCP). I also suggest that … Continue reading

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

What role does the drug “Metformin” play in CKD?

The dose of Metformin has to be modified in patients with chronic kidney disease (CKD).  Metformin is a drug used to treat diabetes mellitus Type 2 and can cause a syndrome of lactic acidosis and liver injury in patients with … Continue reading

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

A kidney biopsy says that I have hyperfiltration injury. What is that? I am on more Losartan to lower blood flow in kidneys. My weight is great, I exercise regularly, drinking 64+oz of water a day and limiting my potassium.

Hyperfiltration injury is generally described as enlarged kidney filters (called glomeruli). It also can show scarring of the filters that we call “glomerulosclerosis”. It can be seen in patients who have a low birth weight, are born prematurely, have diabetes, … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, Hypertension/High Blood Pressure, Kidney Biopsy, Kidney-Related Health Questions, Nephrectomy / One kidney

Is it better to use artificial sweeteners or sugar? Diabetes is under control as is blood pressure. I like one packet of AS in coffee in the am. Have gone from 2 teaspoons sugar to the one packet. EGFR IS 47 (white 75 yr male).

Artificial sweeteners do not pose a problem to the kidneys. Sugar does not pose a problem to the kidneys as long as your diabetes remains under good control. If you are leading a healthy lifestyle with a healthy diet and … Continue reading

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

Hello Dr. Spry, We are Thai. But, my father is in Thailand. He is 76, diagnosed with CKD in January this year from blood test; he did know the symptoms of being untreated about his urinary problems for about 10 years before. Now, he is stage 3a, GFR = 53/Cr. 1.3 (last result from July 8th) and due to check up again on August 19th. He will have to do CT scan for prostate cancer on August 27th which he will have to inject contrast dyes into his vein. He has some pills to take for 2 days before the CT procedure. (I don’t know the details of those pills) His Dr. said. My father will have a chance to get kidney failure by injecting this contrast material! My question: 1.) What is the percentage of chance to get kidney failure? Sounds very scary. Will his kidney fall to stage 4 or 5 and start dialysis after injection contrast? 2.) What else can we do so that his kidney does not get worse? Because he needs CT scan for the next treatment of prostate cancer. So far this is what I could think to ask you, hoping that can help my dad. Thank you so much in advance for your answers.

I am unable to offer a prognosis without performing a complete history and physical examination on your father. It is true that there is some risk of contrast dye used for computerized tomography (CT) scanning. The risk can range from … Continue reading

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

Hi! I would like to be able to donate a kidney to my mother should she need it. My high blood pressure is controlled and my last A1c was 7.2%. Will the diabetes prevent me from donating a kidney? If so, is there anything I can do to change that? Thank you.

Patients with diabetes are commonly excluded from being kidney donors because of the risk of more rapid development of progressive diabetic kidney disease in patients with a single kidney. You are free to inquire about being a kidney donor but … Continue reading

Posted in Ask the Doctor, Diabetes, Kidney-Related Health Questions, Living Donation, Nephrectomy / One kidney