Doctor insights on:
Is It Wise To Prescribe Januvia To Diabetic Who Has Protein In Urine
I've read that statins may cause diabetes in some folks? So if a pt. is able to safely stop statins, is there a chance their blood sugar could drop?
Low risk: Statins do raise the risk of diabetes slightly, however you should not discontinue the medication without consulting your doctor, You may discuss using a different statin. See this site for info. http://www.webmd.com/cholesterol-management/news/20130523/could-statins-raise-diabetes-risk ...Read more
Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more
Are we likely to see a 'smart' insulin where by it will stop acting if a person's blood sugar level is low?
Is xylitol safe to use by type i diabetics? Patient is 77 , has a wicked sweet tooth and thus finding it difficult to do without regular
Hi, Just read a diabetes medicine canagliflozin may also protect kidneyu function to a greater extent than glimperide. In that case can my mom take it?
Key word 'MAY': New drug Only 1 study Choice of antidiabetic regimen should not be based one study but overall individual approach and goals of care ...Read more
I read that statins may cause diabetes in some folks? So if a pt's.able to safely stop statins, is there a chance their blood sugar could drop?
Low complex carbs : Small intestinal bacterial overgrowth (sibo) can have multiple causes, is excessive bacterial count in the small intestine. Can be associated with overuse of proton pump inhibitors, fistulas in the bowel, motility disorders, scleroderma, celiac disease, certain gastric ulcer surgery, some immune diseases. Rx is geared toward the underlying cause and antibiotics. Less complex cho (bread) may help. ...Read more
Is annona and mango ok for diabetic person who have high hba1c ?
& if yes what is the amount& at what duration it should be taken?
Thnx a lot
Is the new drug Farxiga to treat diabetes a good drug to be taken by diabetics.Is it a safe drug & is it out in market.Any side effects/allergies.Help?
FDA Approved: The drug is safe as it has been approved by the FDA. Every drug known to man has side effects. You can go on line to search for the SE of the drug as I believe telling you them often makes a person believe they will get them purely from the way the human mind works. (Half my med class started to itch when the picture of a scabies mite came on the big screen). Best wishes, stay well. ...Read moreSee 1 more doctor answer
Psych RN wants to do a genitic liver test to see which meds i can tolerate. How is this test done?
Likely: your psych RN want to complete cytochrome testing, which allows him/her to determine how you body may metabolize certain medications. This is usually done by blood testing or testing of cells through a cheek swab. ...Read more
Omega 3: Omega 3 is excellent - it will not affect stones but will improve vascular health: Diet matters; avoid organ meats; fatty meats and alcohol will elevate uric acid. Avoid these. Also, drink at least 3 liters fluid per day - this may enhance uric acid excretion - and incline diet successfully to mostly whole grain, fruit, and veggies, and nuts, using white fish and egg white; ...Read moreSee 1 more doctor answer
A friend is diabetic & is on meds for years.His cretanine level has gone up.Is it better if he takes insulin than oral meds to keep sugar controlled.
Depends: Hi. That depends on how high the creatinine went up to. Metformin should be stopped if creatinine goes up much because risk of a serious side effect goes up. Some sulfonylureas can accumulate if creatine goes up much. Insulin tends to accumulate in renal insufficiency too, but dose can be micro-adjusted if necessary. Your fried should talk with his/her doc and maybe see a kidney doc. Good luck! ...Read more
If some one have one kidney and he want to take testasteron ( steroid) for medical thing , should he lower the dose that a normal people take ?
GFR: It depends on the kidney function or GFR . Which is the filteration rate of the kidney. Consult your physician or a nephrologist ...Read more
Is metformin ok to take if one has kidney problems. Is it safe to take when cretanine and potassium in blood is high.thanks?
Neither helpful: ...or harmful. There's evidence of it's anti-inflammatory and anti-microbial properties and POSSIBLY improvement of diabetes in lab studies. However, so far, it's medicinal value is still theoretical and the dose required to produce an effect is unknown. If inhaled, it can irritate your throat and airway. I love cinnamon flavor, but can't recommend it as a medicine. Hope this helps. Dr. Anne. ...Read more
My mom is a renal failure patient. Protein is going out in her urine. Can u advice me what kind of food she can intake in able to control protein?
Proteinuria: You need to provide more information. Did your mother's physician give her the reason for her proteinuria? Was it due to diabetes or due to some glomerular disease of the kidney? If she on dialysis? If she is on dialysis, she can speak to her nephrologist and dietician about her protein loses. If not on dialysis, have her go to a nephrologist for a work up of her proteinuria to find its cause. ...Read moreSee 1 more doctor answer
For a 85 yr old person with sodium level in blood 125 and who is under medical treatment in hospital, how long will it take to be normal.
Depends on cause.: If the patient has an iv, with added sodium, often the level can return to normal fairly quickly, often in a few hours. However, if some disease process has caused loss of sodium it may take longer, drop again or require additional medication, teeatment. Dis cuss the underlying cause(s) with the patient's treating physician. ...Read more
Not necessarily so: Even healthy people have protein in urine, at times--orthostatic proteinuria, especially in children (protein spilled in urine during active hours). Being a diabetic put u at higher risk for kidney disease and excess protein in urine is a marker for disease. There meds to reduce this. Keep diabetes, blood pressure, cholesterol under control. Eat well, exercise, and see doc regularly. Good luck. ...Read more
Dr my age is 23 and weight is 89 and i am diabetic and recent report is 30.0 mg/dl protein in urine ...please help me with this?
Important: You should do the following - consult with an endocrinologist to use a weight neutral medication for diabetes such as metformin, sitagliptin, Victoza (liraglutide) or similar, canagliflozin or similar. These will reduce weight and improve diabetes. Also start a medicine like lisinopril or losartan to reduce protein in urine, consult with a nephrologist/ kidney doctor. ...Read more
Dr my age is 23 and weight is 89 kgs and i am diabetic and
hb1ac : 6.1 %
PROTEIN IN URINE : 1+ (30/mg/dl)
is there any danger .. please help me dr?
Diabetic nephropathy: We need height in order to determine if weight is appropriate (http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm). Your HbA1c, which indicates sugar control over last 3mo, is excellent. Protein in urine is worrisome. Ask for urine microalbumin:Creatinine ratio test to determine extent of damage if any (normal less than 30). Calculate eGFR from blood creatinine - should be 60+. ...Read more
Dr my age is 23 and weight is 89 kgs and i am diabetic and
hb1ac : 6.1 %
AST (SGOT) : 48
ALT ( SGPT) : 72
GGTP : 106
PROTEIN IN URINE : 1+ (30/mg/dl)?
Many possibilities: An elevated WBC is typically seen when you have an infection. It is not directly related to having diabetes, but diabetics are more prone to getting infections, such as urinary infections. High protein in the urine can be from a urine infection, but can also be a sign of diabetes affecting the kidneys and causing leakage of protein. This would need treatment. You should see your doctor about. ...Read more
Ana positive 160 with lambda bj protein in urine (total 2 gm/day). Diabetic ckd r/o myeloma. Creatinine 1.5-2.6 variable. Hem unaware of lcdd. Steps?
Multiple myeloma: Multiple myeloma diagnosis needs more information, need the hemoglobin level, calcium level, need serum immunoglobulin level and urine BJ protein of course. Some times you may need a bone marrow biopsy for the confirmation of the diagnosis. You need to see an Oncologist/Hematologist ...Read more
Has protein in urine after 2 urine tests in 4 months. Dr won't say what it means. Am on various psych meds. I have no symptons. Should I worry?
Mother has diabetes and BP & is on medicine.BP controlled well.Sugar keeps fluctuating.Now has protein in urine.What should she do.Can diet raise it.
Causes:: 1. Temporary rise in the levels of protein in urine include: cold exposure, fever, heat exposure, strenuous exercise 2. Persistently elevated levels of protein in urine include: amyloidosis, certain drugs chronic kidney failure, diabetes, glomerulonephritis, heart failure, hypertension, kidney infection leukemia, lupus, malaria...... ...Read more
Kidney disease: presence of protein in the urine is usually suggestive of underlying kidney disease. When the kidney filters get damaged the protein from blood tends to leak into the urine and causes further damage. most common causes are diabetes and high blood pressure. Please make appointment to see a kidney specialist. ...Read more
Kidney defect: Normal kidneys usually retain all protein so no protein ends up in the urine. If the membranes in the kidney go through damage or inflammation, it may become leaky and protein will show up in the urine. Infection and inflammation can disrupt the membrane. This can be reversible or irreversible. See your doctor for further work-up. ...Read more
Many causes.: Renal disease from causes like diabetes, sle, and others accounts for the major reasons for protein in the urine. Protein should not be in the urine. The kidney basement membrane is supposed to keep it out. If it isn't intact, protein leaks out. In burns, accidents, etc., things like myoglobin leak out, and in poststrep. Glomerulonephritis, anythhing can leak out, but these resolve with rx.. ...Read more
Excess Loss: Protein is an expensive commodity for the body. The kidneys are entrusted to return protein back to the body during filtering, and not lose it to the urine. Losses > 150mg/day are indicative of a problem with the filtration mechanism of the kidney. A nephrologist should be consulted to sort this out. ...Read more
Protein is an expensive commodity for the body. The kidneys are entrusted to return protein back to the body during filtering, and not lose it to the urine. Losses > 150mg/day are indicative of a problem with the filtration mechanism of the kidney. A nephrologist should be consulted ...Read more
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