Category Archives: Diabetes

My father has high blood pressure, high sugar and high creatinine. The creatinine level is 2.91. What should we do? Is it controlled by medication?

Your father needs to see his physician for medication to control his blood pressure and his diabetes. High blood pressure and diabetes both cause chronic kidney disease (CKD) and are the most common causes of CKD. Kidney disease can be … Continue reading

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

I have read several articles on the benefits of dapagliflozin (farxiga) not only for diabetic kidney disease but also for other types of kidney diseases. What are your thoughts on this research?

There is considerable evidence that drugs such as Dapagliflozin (Farxiga) and others known as Sodium GLucose co-Transporter 2 (SGLT2) inhibitors improve cardiovascular risk in diabetics and may reduce protein loss in the urine as well as progression of chronic kidney … Continue reading

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

I am diabetic patient with chronic kidney disease. My creatinine level is increasing day by day and now its 317 and urea is 11.6. Can you please guide me the better option I should go for?

I am unable to offer treatment advice without performing a complete history and physical examination. Diabetes and high blood pressure are the two most common causes of chronic kidney disease (CKD). You will need to consult with a nephrologist in … Continue reading

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

I had an MRI for back problems and they incidentally found enlarged kidneys. I had an ultrasound yesterday which confirmed this but nothing sinister was found in the kidneys on either test. I am still petrified I may have cancer and cannot eat or sleep. I am not sure when my next appointment is, the ultrasonographer said it would be this week but I have not had an appointment.

Enlarged kidneys can be seen in patients with diabetes, infiltrative disease of the kidneys and acute infection.  If you are not having any symptoms, this could be a normal variant. I am unable to make a specific diagnosis based on … Continue reading

Posted in Ask the Doctor, Diabetes, Kidney Cancer, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis

I just visited my doctor because of the lowering of my kidney function in 3 weeks since I began Carafate for my bile gastritis. I was CKD Stage 2 for ten years and now CKD Stage 3. He said the Carafate wouldn’t have caused such a rise so quickly, and it could be my ppi which I have been on for over 20 years. He wants me to find an alternative medicine for the ppi which I don’t want to do since I have Barrett’s esophagus. I’m still thinking it is the Carafate and not the ppi. What is your opinion, Dr. Spry. I keep my blood pressure and diabetes under control by medicine and diet.

Carafate does not get absorbed into the system circulation and hence is unlikely to affect the kidneys. Proton Pump Inhibitors (PPI’s) have been associated with advancing kidney disease but have not been shown to “cause” kidney disease.  The association does … Continue reading

Posted in Ask the Doctor, Clinical Trials/Studies, Diabetes, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I have polycystic kidney disease and diabetes. I can’t find a medicine for the diabetes that doesn’t cause flank pain and stomach trouble. My doctor doesn’t believe me. I have tried metformin, glipizide and humulin. Can you recommend a med for me?

I am unable to recommend medical therapy without performing a complete history and physical examination. The pain that you get in your flank could be the result of your polycystic kidney disease (PCKD) and not the result of any medication … Continue reading

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

I am here to ask, I am on a huge dose of antibiotics for a bad kidney infection so I’m getting 2 shots 3 times a day but now I’m having blood in my pee and numbness to my body and I am wondering what the cause of that might be???? I’m also 43 and a type one diabetic. Could you please possibly help me out with

I am unable to make a specific diagnosis based on the information that you present.  Bleeding into the urine is never a normal event. From the description that you provide, you need to be seen and examined by your physician. … Continue reading

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

Recently diagnosed with Stage 3. I’m an extremely healthy individual with no diabetes or high blood pressure. What are the possible reasons for this issue?

I am unable to make a specific diagnosis based on the information that you present. This is an issue you should discuss with your physician. Diabetes and high blood pressure are the most common causes of chronic kidney disease (CKD), … Continue reading

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

My Creatinine is 1.19 and GFR is 50. This is through my primary care giver. I take bp meds and not diabetic. My dad had renal failure and CHF. He was diabetic and on high bp meds. Do you suggest I see a nephorologist now. I am 59. I have felt really tired and I also have some autoimmune disorders. Hypothyroid and vetiligo on my skin.

I suggest that you visit with your primary care physician (PCP) and see if a referral to a nephrologist is appropriate. Most primary care physicians are very capable of caring for early stage kidney disease, but you may need further … Continue reading

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

Hi Dr. I am a 2nd year medical student, yet to do my nephro or endocrine yet. But I’m participating in a video contest for World Kidney Day in my area. My topic that I chose is the burden of living with CKD. May I know what are the most common one and the most significant one? From what I know some of it would be frequent nausea, vomitting, tiredness, frequent dialysis, nocturia and maybe economic burden? Correct me if I’m wrong. Hope to hear your answer soon. Thanks!

The most common symptom of chronic kidney disease (CKD) is to have no symptoms.  CKD is a silent disease and that is why it is important to screen for CKD with blood and urine testing if you have risk factors … Continue reading

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