Top
20
Doctor insights on: Diabetic Nephropathy Medscape

Share
1

1
How is diabetic nephropathy diagnosed?

How is diabetic nephropathy diagnosed?

Protein in urine: If you have diabetes, early diabetic nephropathy can be suspected if your doctor tests the urine for microalbumin, and then later for protein.Usually no need to do a kidney biopsy especially if the retina of the eye also has diabetic changes.Your nephrologists determines this. ...Read more

See 1 more doctor answer
Dr. Jack Rubin
69 doctors shared insights

Diabetic Nephropathy (Definition)

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


2

2
Do CKD + dm = diabetic nephropathy?

Do CKD + dm = diabetic nephropathy?

CKD + DM: The answer to your question is "Yes". Diabetes is the leading cause of renal failure in the US. There are 6 stages of chronic kidney disease, with stage being that of patients on dialysis. So a diabetic, depending on the duration of diabetes, the control of blood pressure and glucose, can be in any one of stages 1-5. ...Read more

3

3
What's the difference between 'diabetic nephropathy' & 'diabetic neuropathy'?

What's the difference between 'diabetic nephropathy' & 'diabetic neuropathy'?

Kidney vs nerves: "nephropathy" is damage to the kidneys, and "neuropathy" is damage to nerve cells. In addition to kidneys and sensory nerves, uncontrolled diabetes can also damage blood vessels & circulation, heart, brain, eye, stomach emptying, skin, immune system and just about any organ in the body. Best way to prevent is to control blood sugar. Once there is damage, may need specialist or more advanced care. ...Read more

See 2 more doctor answers
4

4
Is s-amlodipine suitable for diabetic nefropathy ?

Is s-amlodipine  suitable for diabetic nefropathy ?

Neutral: It will neither hurt nor fix your diabetic nephropathy. It's a decent BP lowering med though, which is important for preserving renal function. ...Read more

6

6
Kidney:sod-141 potas-5.6 chlo-104 urea-3.3(19.8) creatinine-76(0.86)egfr>60 hba1c-8.8. Diabetes from 6 yrs.Age-39 ht-5.7 wt-63.How to reduse potass?

Kidney:sod-141 potas-5.6 chlo-104 urea-3.3(19.8) creatinine-76(0.86)egfr>60  hba1c-8.8. Diabetes from 6 yrs.Age-39 ht-5.7 wt-63.How to reduse potass?

Likely RTA type 4: There is an entity called type 4 renal tubular acidosis which is seen associated with diabetes. Serum bicarbonate (sodium bicarbonate) is slightly low and potassium is slightly high. First need to look at the medication list to see any of them causing/ contributing to high potassium. If also gave hypertension, can try adding hydrochlorothiazide which can lower potassium. Also to avoid high potassium foods. ...Read more

See 1 more doctor answer
7

7
Whats diabetic retinopathy?

Whats diabetic retinopathy?

Control Risk Factors: Tight control of glucose can help prevent or delay the onset of retinopathy. Control of blood pressure and cholesterol are also important factors. It is important for all diabetics to get annual dilated eye exams from an ophthalmologist to determine whether retinopathy is present. ...Read more

See 3 more doctor answers
8

8
How do CKD and dm relate to diabetic nephropathy?

How do CKD and dm relate to diabetic nephropathy?

Diabetic nephropathy: Diabetes (d) affects the kidney and can cause them to fail. The kidney disease caused by d is called "diabetic nephropathy" (dn). Before going into renal failure, those with diabetic nephropathy can go into various stages of ckd. Treatment of blood pressure elevations, proteinuria and blood glucose levels can lead to slowing of kidney failure due to dn. ...Read more

9

9
What is proliferative diabetic retinopathy?

What is proliferative diabetic retinopathy?

New vessel growth: The main risk factors for causing pdr are having diabetes for longer than 10 years and poor blood sugar control. Pdr results when retinal blood vessels begin to grow abnormally in response to poor retinal circulation. The new vessels are fragile and bleed easily and bleeding is the main cause of vision loss in pdr. Treatments include laser, vitrectomy surgery, and intravitreal injections. ...Read more

See 3 more doctor answers
10

10
How is diabetic retinopathy diagnosed?

How is diabetic retinopathy diagnosed?

Eye exam.: An eye doctor, usually an ophthalmologist or a specialist in the diseases of the retina, diagnosis diabetic retinopathy through a careful eye exam that includes dilating the pupils. Other tests of the may also be performed using photographs, computer scans (oct), or injecting a dye into a vein in the arm and analyzing the dye's flow through the blodd vessels in the back of the eye (fa). ...Read more

See 2 more doctor answers
11

11
Glimepride or metformin sustained release? Which anti diabetic tablet is safer for stage 2 renal disease (diabetic nephropathy)

Glimepride or metformin sustained release? Which anti diabetic tablet is safer for stage 2 renal disease (diabetic nephropathy)

Caution: Metformin is contraindicated as renal function declines. Glimepiride is ok, but all such agents are more potent as renal function falls since Insulin is metabolized by the kidney and Insulin levels may persist at a higher level with renal disease. Night time hypoglycemia is more common w/renal disease so monitor carefully. ...Read more

See 1 more doctor answer
12

12
Is diabetic retinopathy curable?

Is diabetic retinopathy curable?

Diabetic retinopathy: In susceptible diabetics, prolonged poor control leads to weakening of the outer walls of vessels in the retina leading to outpouching (microaneurysms), leaks, scarring, and vascular occlusion leading to ischemia. Ischemia sends out a signal (vegf) causing the growth of new vessels (neovascularization) which leak, and can lead to retinal detachment and proliferation. It is treatable - hurry. ...Read more

See 2 more doctor answers
13

13
Is diabetic retinopathy treatable?

Is diabetic retinopathy treatable?

Yes: Diabetic retinopathy is very treatable with laser, steroids, and a new class of medicines called vegf inhibitors. The specific treatment needed depends on the type and extent of the retinopathy. The most important thing is that early treatment always gives the best results. Diabetics need to be monitored at least every year to evaluate for any retinopathy. ...Read more

See 1 more doctor answer
14

14
What is diabetic keto acidosis?

What is diabetic keto acidosis?

DKA: A metabolic emergency for patients primarily with type 1 diabetes, DKA symptoms include those of high blood sugars initially. As the ketones build up, patients may have a fruity odor on the breath, get abdominal pain & vomit. Because they're already urinating a lot, dehydration can get bad. Some may breathe fast, get headaches, have altered consciousness. Without proper treatment, death imminent. ...Read more

15

15
Is diabetic retinopathy curable? Please advise!

Diabetic retinopathy: Diabetic retinopathy is due to new abnormal blood vessels growing in the retina. It is a chronic condition that can be managed by anti-angiogenic injections if needed, strict diet control (low or no carb diet), laser if needed. It is able to be controlled in many situations. ...Read more

16

16
Is diabetic retinopathy reversible?

No: Diabetic retinopathy may be prevented by good blood sugar control ( HGB A1c of <7.0) and may be treated with laser photo coagulation or anti-vegf( vascular endothelial growth factor) injections if it is detected early enough but although the changes may be stabilized and neovascularization may involute the retinopathy is not reversible. ...Read more

See 1 more doctor answer
17

17
19/M recently serum creat upto 3 mg/dl.Asymptomatic.Renal biopsy suggests Thrombotic Microangiopathy.Takes Prednisolone,Amlodipine+Atenolon,Telmisarta?

19/M recently serum creat upto 3 mg/dl.Asymptomatic.Renal biopsy suggests Thrombotic Microangiopathy.Takes Prednisolone,Amlodipine+Atenolon,Telmisarta?

Continue: That is a good combination of medication for that diagnosis. Make sure to followup with your doctor regularly to make sure the medicines are working right. ...Read more

18

18
A1c 5.8 is this diabetic or prediabetic?

A1c 5.8 is this diabetic or prediabetic?

HbA1c DM or not?: 51F: A1c 5.8 is this diabetic or prediabetic? ANS: ADA says A1C level ?6.5 percent ( done 2 x) can be used to diagnose diabetes, &, identified 5.7 to 6.4 percent, confirmed with a repeat A1C measurement, as increased risk for developing diabetes. So repeat & check with your Dr who knows you best. Some conditions can lead to false test results. ...Read more

19

19
Diet control for hypertensive and diabetic patient?

Diet control for hypertensive and diabetic patient?

Metabolic syndrome: I am not sure why you are on a calcium channel blocker, but ace inhibitors are first line in diabetes with hypertension. Metabolic syndrome is a problem of obesity, high bp, high blood lipids and poor sugar control. The best approach to this is to eliminate refined foods from the diet. Eat a quart of vegetables daily. Omega 3 oils, magnesium, Alpha lipoic acid and aerobics are very helpful. ...Read more

20

20
What is diabetic retinopathy?

What is diabetic retinopathy?

Bad: Diabetic retinopathy is caused by blood vessel damage due to high sugar levels. It can cause leakage of fluid from vessels causing swelling. It can also cause the vessels to die leading to the retina not getting enough blood. Both of these can permanently impair vision. The best way to avoid this is control of sugars. Many treatments exist for diabetic retinopathy. ...Read more

See 2 more doctor answers
Dr. James Chapman
104 doctors shared insights

Nephropathy (Definition)

Nephropathy is a medical term that refers to disease of the kidney. There are many causes. It can be caused by high blood pressure, diabetes, uric acid, abnormal proteins, cancers, blood vessel blockages in the kidney, it can be minimal or or it can be severe ...Read more


Dr. Veeraish Chauhan
93 doctors shared insights