diabetic food exchange list

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Dr. David Geffner answered:

How is diabetic kidney disease treated?

Variously

Diabetic_kidney_problems
Prevention using an ACEI or ARB and good blood sugar control. For established disease it depends on how badly it has progressed. It is the #1 cause of the need for dialysis and transplantation for chronic kidney disease in the US
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What are the signs of diabetic kidney disease?

None

Diabetic_retinopathy
Diabetes can hurt the kidneys and not be detectable on urine or blood test. In fact, studies have been done on diabetes patients who have normal kidney test, yet biopsies of these patients show damage. Diabetic retinopathy correlates with diabetic nephropathy. Studies have shown ace inhibitors to be protective of kidneys on both normotensive and hypertensive patients.
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Dr. Raj P. Singh answered:

What exactly is diabetic kidney disease?

Protein in urine

Physical_exam
Diabetes affects kidneys in several ways, causes leakage of protein especially albumin in the urine and causes reduction in the filtration rate of the kidneys. Over time the kidney becomes more scarred and BP becomes difficult to control. Diabetes is the most common cause of kidney disease requiring dialysis and transplantation. Regular follow with your primary care physician is important.
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What are the consequences of diabetic kidney disease in a child?

Kidney failure

Kidney_transplant
The ultimate "consequence" of diabetic kidney disease is kidney failure and possibility of dialysis or kidney transplant. At this stage, best we can do is help the child control his/her risk factors which is to keep as normal blood sugar, blood pressure and cholesterol as possible. Keep close contact with his/her physician.
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Dr. Susan Wingo answered:

How is diabetic kidney disease diagnosed?

Lab tests

Urine should be checked for protein once a year with a test for microscopic levels of albumin (often called micro-albumin). Blood should be checked for BUN (Blood Urea Nitrogen) to measure the levels of nitrogen-containing waste levels. Higher levels mean the kidney is not as efficient as it should be. A calculated value called eGFR reflects the kidneys' ability to remove waste products.
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What are the symptoms of diabetic kidney disease?

Swelling

Diabetic_nephropathy
Diabetic kidney disease is a form of chronic kidney disease. In the United States it is the most common cause of kidney failure. Typical symptoms include swelling of the feet, decreased urinary output, poor appetite, nausea.
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What kind of condition is diabetic kidney problems (nephropathy)?

Kidney damage

Diabetic_nephropathy
Chronic conditon of kidneys which can develop after many years, usually > 15 years, primarily in patients with type 1 diabetes. Problem is sclerosis (shrivelling up) of the tiny blood capillaries in the glomeruli (min filters) of kidney. This leads to progressive loss of function. Patients usually require dialysis or kidney transplantation within 3 years of diagnosis
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Had baby at 21 weeks because no fluid or.kidneys in baby. I am diabetic and have diabetic kidney problems. Was this my fault she had no.fluid?

Not your fault

Kidney_problems
Diabetic mothers have a slightly increased risk of having babies with congenital abnormalities. However vast majority of diabetic mothers have perfectly normal babies, although they tend to larger at birth than babies born to non-diabetics, who can also have similar problems. Sympathize with your loss.
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What's the most effective way to treat diabetic kidney disease?

A1c, BP, take meds

Blood
In short, keep your a1c close to 6.5%, your blood pressure under 130/80, and make sure you are taking a blood pressure medication in the ACE inhibitor or ARB class.
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