Category Archives: Diabetes

If a person was born with only one kidney, and is a diabetic, with the kidney only functioning at 28%, where would that place them at risk factor? Would this be at severe or would it be less?

An estimated glomerular filtration rate (eGFR) of 28 milliliters per minute per 1.73 meters squared would suggest Stage 4 chronic kidney disease (CKD). Patients with a single kidney may experience more rapid loss of kidney function over time. I suggest … Continue reading

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

My friend’s Mom is diabetic since last 10 years, and also her creatinine level was high in past few years. Since month, her creatinine level kept on rising and now its 7.9. Can you please suggest what should we do now? Is there any thing that can bring back her creatinine level to normal or any medication or something to improve her kidney health?

I am unable to make a specific diagnosis of kidney disease based on the information that you present. Your friend’s mother should seek consultation with a nephrologist. Diabetes is a very common cause of chronic kidney disease (CKD) and generally … Continue reading

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

I have recently got my blood work done because of my Doctor’s concerns with pre-diabetes. It came back as pre-diabetes. But what concerned me is I had GFR of 57.35, CHLORIDE 109 and CREATINE 1. Should I be concerned with kidney disease as well? I have high blood pressure, Graves disease, and a blood disorder that leaves me anemic most of my life. I am 56 years old.

I do recommend that you have blood testing for serum creatinine and estimated glomerular filtration rate (eGFR) and urine testing for protein, blood, and infection at least on an annual basis. I am unable to make a specific diagnosis at … 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, Serum Creatinine

1.) When (age 20 in 1999) I was 4 months pregnant with my oldest son I found out that I had polycystic kidneys. It was 2 months after I gave birth that I had a right nephrectomy. The urologist said it had so many cysts that it looked like a bag of grapes and my left kidney had a few cysts, function was good, but is large enough to be in a man that was over 6 foot. I am only 4’10”. Since then my paternal grandfather has had a right nephrectomy and left is good. My father was diagnosed 5 years ago with bilateral polycystic kindeys and is stage 4 renal failure and not yet on dialysis. Is this just a coincidence or do I need to have my son tested as he is now 19 years old? How often should I check up on my own kidney issues? I have not seen anyone in 15 years but have had very little problems other than occasional UTI. 2.) I have also recently been diagnosed with DMII and arthritis. I am terrified to take anything for the pain and inflammation of the arthritis. I control the diabetes with balanced diet. Thank you so much.

I recommend annual visits to your doctor (PCP) for follow up of your polycystic kidney disease (PCKD). You should have both blood and urine testing to monitor your status and also have your diabetes monitored. PCKD is a silent disease … 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, Polycystic Kidney Disease

Hello, my mom is a 65 year old African American End Stage Renal Disease, Diabetes, Hypertension, dialysis 3 x week since 10/2014. Ulcer developed on her left heel 11/2018. Since then things have gone from bad to worse. The Vascular Surgeon did several tests to ensure good circulation. According to him the ulcer was not due to poor circulation. Then a blister formed on her left lower leg calf area. She had two toes on her right foot amputated on 2/27/19. Now she has two large infected ulcers, one on each leg calf area. Both heels are infected as well. The pain is extremely excruciating and it seems like the pain meds are not helping. She takes Norco, Tramadol, and Gabapentin not sure of the dosages. The Vascular Surgeon suspects that she has Calciphylaxis. If this is true will the ulcers ever heal? What should we being doing? How can we advocate for her?

I am unable to make a specific diagnosis based on the information that you present. I typically see calciphylaxis beginning in the upper thigh area or on the lower abdominal area in the fat pad (panniculus). The findings that you … 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

Hi Dr. Spry, I am a type 1 diabetic 34 and have been a diabetic for 22 years. I am in pretty good shape but I have noticed increases in the amount of protein in my urinalysis. My endocrinologist mentioned using a statin to protect my kidneys at some point. I wanted to know if there where some guidelines for the different levels of albumin and creatine? When should an individual include a statin to protect their kidneys from further damage? Thanks.

The American Diabetes Association recommends that all diabetics be treated with a statin to prevent atherosclerotic heart disease. Statins have also been shown to slow progression of kidney disease in diabetics as well. In the case of the albumin to … Continue reading

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

Hi Dr. My Creatinine count GFR Calculated is 53. The Creatinine reference Range is 0.53-1.30 and my results showed it is 1.40. How and what can I do to get the GFR count to above 60? I am a diabetic for the past 19 years with high blood pressure and high cholesterol. Thank you for taking my questions.

There are no treatments that can increase the glomerular filtration rate (GFR) once kidney function is lost for people with chronic kidney disease (CKD). The goal of treatment for CKD is to prevent further loss. It is not possible to … Continue reading

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

Age 77, Diabetes but taking insulin for 20 years. MODD including heart, brain. Now B.P. 100 after treatment in a multi specialty hospital in India. Dialysis done. Can he recover?

I am unable to offer a prognosis without performing a complete history and physical examination. I am not familiar with the acronym “MODD”. This is not a common abbreviation that I use or are familiar with. I suggest that you … Continue reading

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

What treatment is given to treat prednisolone induced diabetes? Biopsy report said I had an autoimmune antibody attacking my transplant. My doctor put me on 60mg prednisolone. My blood sugar is 170. Thank you in advance for your response. Regards.

Treatment of an elevated blood sugar (diabetes) as a consequence of steroid (prednisolone) treatment requires monitoring of your blood sugar and consultation with your physician. There are a number of treatments that could be offered but the first thing to … Continue reading

Posted in Ask the Doctor, Diabetes, Diet/Nutrition, Kidney-Related Health Questions

Good morning, I had a CT angiogram with contrast 5 weeks ago. Just yesterday, I had a kidney function test and creatinine was 0.98 and GFR was 90. Doctor said everything looked good. My question is, can I still get contrast induced kidney damage? I get anxiety over this. Thank you so much in advance.

Contrast toxicity is uncommon in people with normal kidney function. It is more common if you have underlying kidney disease, are diabetic, have concomitant heart disease, or have protein in your urine. Your kidney function appears normal. Contrast induced kidney … Continue reading

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