Doctor insights on:
Diabetic Kidney Disease Dark Urine
In Kidney Disease or kidney failure what color of urine is produced, white, pale yellow or dark urine?
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
Had a succesful kidney transplant after losing a kidney to diabetic kidney disease. Will i still suffer with the new one?
20-40%: About 40% of type 1 diabetes patients with kidney disease will develop kidney failure within 20 years without strict blood pressure and glucose control. About 20% of type 2 diabetes patients with kidney disease will develop kidney failure within 20 years, but blood pressure control has seemed to be less effective in completely stopping progression in these patients. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 1 more doctor answer
Kidney failure: 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. ...Read moreSee 1 more doctor answer
Protein in urine: 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. ...Read moreSee 1 more doctor answer
None: 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. ...Read moreSee 1 more doctor answer
I understand that an elevated randome urine microalbumin/cratinine ratio of 129 may be a sign of kidney disease for a type 2 diabetic, but how bad is?
Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it does put you at risk of kidney disease, nerve and eye damage and other microvacsular lesions. How bad depends on your creatinine, blood pressure and A1c levels. ...Read more
I've hypertension and I have proteinurea and i'm not diabetic, the presence of proteins in urine is it due to kidney disease or to hypertension itself?
HTN and proteinuria: Hypertension can indeed cause proteinuria, though typically this indicates uncontrolled hypertension. Polycystic kidney disease can cause proteinuria, and this indicates a worse form. Other kidney diseases do cause proteinuria and hypertension together. ...Read moreSee 2 more doctor answers
Does a low GFR always mean kidney disease? Sle pt.In hosp 4months ago. Dark brown urine and +4 protein but dr said kid fine.Hep dr just found GFR 43.
GFR of 43: If real GFR is 43, you have stage 3 ckd. If may be caused by your proteinuria. Speak to a nephrologist to see if your proteinuria is caused by a disease that can be treated. After finding out its cause, see if you can preserve or recover some kidney function, or not lose any more by some form of treatment of the underlying disease causing your proteinuria. Good luck. ...Read more
Urinalysis: The answer is yes. Typically patients with certain kidney diseases such as that due to hypertension can have a normal urinalysis. Additionally early kidney disease may not necessarily show evidence on urinalysis. Their are urine biomarkers, that are expensive and special tests that are more sensitive to diagnosing kidney disease. These are not typically used in current practice yet. ...Read more
Recheck urine: I agree. You can see protein in urine after exercise in some individuals and teenage can have orthostatic proteinuria. Where protein will appear in the urine on ambulation and it disappears when lying down. I think the next step would be to have. A repeat urine first urine in the morning and no exercise for 24 hours before the sample. I would have the doctor measure the protein creatinine rat. ...Read moreSee 3 more doctor answers
The diabetes Melitus affects the part of the kidney which filter urine. These are called glomeruli. The dibetese causes the fine blood vessel in the glomeruli to close down, resuting in that filterstion function gradualy decreases to a point that both kidneys stop working. Therefore urine accumulates in the blood. it can be detected by doing blood tests( ...Read more
a progressive damaging effects to capillaries in/near glomeruli leading to local inflammatory change and scarring with subsequent malfunction in filtering the blood for reabsorbing useful blood components and excreting the unwanted metabolic wastes, which exact causes are still unclear, though, long-term high blood sugar is the culprit. This is usually a slow ...Read more
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