Category Archives: Diabetes

I was recently diagnosed with stage 3 CKD. My GFR is 42.2 and my creatinine is 1.24. Everybody tells me what not to do but are there things I can actually do to raise my numbers?

The nature of chronic kidney disease (CKD) is to cause the destruction of kidney filters known as glomeruli. There are no treatments that directly cause the kidney to build new filters (glomeruli). Once a kidney has been damaged and the … Continue reading

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

SGL2 related sugar, most of time in urine as a permanent thing; can this damage the kidneys in the long run?

I will assume you are asking about Sodium Glucose Cotransport 2 (SGLT2) inhibitors as a treatment for Type 2 diabetes mellitus. These drugs decrease the re-absorption of glucose by the kidney tubules and result in the loss of glucose out … Continue reading

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

Good Day, On June 6th, yesterday, I saw my PCP and he suggested blood work to check my kidney function since I have uncontrolled hypertension. My result showed everything normal except for 13.8 mg of albumin in my urine. Is this something I need to be concerned about? I wasn’t fasting for the test either as the blood draw was done at noon. I also had an A1C reading of 6,2%. What if anything should I be worried about? My Mom had kidney failure but by the time it was discovered she was so ill and she required blood transfusions due to severe anemia. Thank you for your time.

I am not sure of the units for the albumin in your urine. The normal for albumin in the urine is less than 30 milligrams per gram of creatinine (mg/g). The units that you quote are only milligrams (mg) which … Continue reading

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

A loved one is diagnosed with Stage 3 CKD. Last lab results show that their kidney function is now at 65% only. A Renal Nutrition Therapy, Ketorels was recommended to be taken 2x a day. Ketosteril was preferred but due to costs, Ketorels was used as an alternative. Will you please address the following questions: 1. How effective are these kidney vitamins in slowing the progression of the disease? 2. Are there are things one can do in order to avoid the risk of End Stage Renal Disease? 3. Blood pressure is also elevated and is being controlled by Losartan and Amlodipine currently. If BP gets to be too high to the point where a stroke is imminent, would it be okay to take a few aspirins to minimize the damage of a stroke? (as I understand that NSAIDs are not good for kidneys). Would taking a few aspirins one time in an emergent situation like this, acceptable? 4. Does the NKF have any brochures that suggests diet plans for a stage 3 CKD? 5. How often is the recommended testing for kidney functions? Thank you very much.

I have not found Ketosterils (Ketoanalogs of amino acids) to be of any benefit for any kidney disease process. I have not found them to delay kidney disease or be effective for nutrition in patients with chronic kidney disease (CKD). … Continue reading

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

Dear Dr., My left kidney is non functioning since my childhood. My age is 46. My serum creatinine is 1.0. My Protein/Creatinine Ratio is increased at 97. I am type 2 diabetic and hypertensive also. Kindly advise me. Thank You.

The normal for the urine protein/creatinine ratio is less than 150 milligrams per gram of creatinine (mg/g). I am not sure of the units for the result that you quote as 97. This may be a normal result. For having … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Exercise, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrectomy / One kidney, Serum Creatinine

My creatinine level is 1.4 mg/dl. I have done my GFR using your National Kidney Foundation’s calculator. The result is 55 and there is no albumin to my urine. It means the stage is G3a/A1. But, the calculator says it’s not the time to refer to a nephrologist. What should I do now? Please advise. Any diet at home to prevent this disease?

The diagnosis of chronic kidney disease (CKD) requires that your kidney function be at this level for at least three months.  In some cases, the serum creatinine may be elevated and then returns to normal.  In the case of early Stage 3 … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Diet/Nutrition, Hypertension/High Blood Pressure

I have Stage 4 CKD along with high blood pressure, type 2 diabetes and high cholesterol. I’ve never been 1 pound overweight, stopped eating red meat many years ago (^cholesterol & triglycerides diagnosed when I was 31). My BP ran 120/68 before CKD. My blood sugar was normal to high normal until CKD! My problem is…my PCP no longer cares what my A1C is. She said “I’ll worry when your blood sugar gets to 600” I’m on a small dose of Januvia 25 mg once daily and nothing more for diabetes. I watch my carbs, sodium and fats on my own common sense. I also started a low protein diet 4 months ago on my own because phosphorus was causing severe itching (my entire back). My nephrologist finally took control of changing my BP meds as the Clonidine just wasn’t working on my BP! My BP immediately became better controlled with new meds. I’m scared that my Internist is doing harm by ignoring my diabetes! I like her, but am wondering if I should change doctors because of this?!

The usual target for blood sugar control is to keep your fasting blood sugar under 110 milligrams per deciliter (mg/dl) in the morning and no higher than 180 after meals. Your Hemoglobin A1c should generally be between 6.0 and 7.0%. … 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

My father is an 84 year old male with Type 2 Diabetes with stage 4 kidney disease. His eGFR rate is 23. Does the fact that he has only one kidney change the equation for figuring eGFR? My father heard that if you only have one kidney then that changes the eGFR rating by half. Is this an actual fact or just supposition. He is very concerned at this time and would appreciate hearing first hand from someone who knows.

The fact that your father has a single kidney does not impact the estimating equation used to estimate the glomerular filtration rate (eGFR). The eGFR would be the same whether he has one kidney or two kidneys. The eGFR is … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Diabetes, GFR, Kidney-Related Health Questions, Nephrectomy / One kidney, Serum Creatinine

Does a type I diabetic patient require Humalog insulin if such patient has irreversible renal failure and is required to go to dialysis three times per week?

A Type 1 Diabetic must always take insulin. The Brand Name “Humalog” is just one type of insulin but Type 1 diabetics have an absolute deficiency of insulin and must always administer insulin. Dialysis does not change that requirement for … Continue reading

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

My father has been suffering with CKD problems the last 1 year. Creatinine: 3.3, urea: 97, hb: 6.9, sugar (f): 147, sugar (pp): 207, bp: 179/85. He takes Zyroop 4000 ui twice a week the last four months. Eglucent mix 50 & Trajenta 2.5 for diabetes; Phostat 667 mg; Rocaltrol .25mg; Cilacar m 10/50; Prazopress xl 5mg; Rozustat asp 10/75.

I am unable to provide a diagnosis based on the information that you present. Your father appears to be suffering from kidney disease and possibly related to diabetes. He is also anemic. His blood pressure is too high. I am … Continue reading

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