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A 21-year-old member asked:

i have diabetes. how do i know if my kidneys are affected?

4 doctor answers7 doctors weighed in
Dr. Emily Lu
Dr. Emily Luanswered
Family Medicine 7 years experience
Urine test: Kidney disease generally progresses over several years without any symptoms. Your doctor should be able to measure the levels of a protein called Albumin in your urine. Albumin levels should be monitored yearly in diabetic patients to monitor kidney function.
Dr. Lea Danielsen
Family Medicine 32 years experience
AT first diabetic kidney disease is very slow. Starts with microalbumin, tiny amounts of a protein called albumin in the urine. Then there is more protein, and eventually the creatinine in the blood rises. It progresses rapidly after the creatinine rises so important to keep blood sugar and blood pressure under as good a control as possible. It prevents or later stages slows down kidney disease
Jan 27, 2012
Dr. Thomas Heston
Family Medicine 29 years experience
Lab tests: You need to have regular lab tests to check your kidney function. The urine is checked for protein and blood tests are used to estimate the glomerular filtration rate, a measure of kidney function. Previously used nuclear medicine tests are now extremely rare. Usually, people cannot feel an early decline in kidney function, so lab tests are essential.
Dr. Susan Wingo
Endocrinology 33 years experience
Lab Tests: Blood tests for nitrogen containing waste products like BUN and creatinine are useful, and allow the calculation of estimated filtration rate (egfr) to check the efficiency of the kidneys. However, screening for protein in the urine with a sensitive test called microalbumin picks up damage from diabetes even earlier.
Dr. Vasudha Kaushik
Family Medicine 16 years experience
Urine and blood labs: some tests used to check kidneys' health in diabetes are: 1. urine microalbumin/creatinine ratio 2. GFR 3. Creatinine Maintaining a very low carb lifestyle helps to halt and sometimes even revert the kidney changes of diabetes.

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A 36-year-old male asked:

Should I forgo western medicine and try chinese herbal medicine to treat my diabetes?

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Last updated Oct 3, 2016
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