Doctor insights on:
Diabetic Nephropathy Ultrasound
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
An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Husb micoalbumin is 596. BUN/Creatinine level is normal.Serum Albumin norm. He's diabetic & has fatty liver.Is he in kidney failure?Why micro high?
Diabetic nephropathy: B"sd kidney failure is marked by elevation of creatinine. Microalbumin is a sensitive test for early kidney changes seen in diabetes and hypertension. Unless very high, standard albumin will be normal. Fatty liver is of concern but not directly related. To prevent progression of kidney disease 1. control of diabetes 2. blood pressure control 3. ACE or ARB agent. Glad to discuss ...Read more
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
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
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
I am s/p bladder ca, diabetic, high bp, ckd, history of kidney abscess.With current issue of "ring" around kidney seen in Lasix (furosemide) ultrasound. What now?
What is the Best way to monitor kidney functioning in type 1 diabetics?? Microalbumin urine tests or simple creatinine / cystatin-C?
Here are some...: Annual urinalysis + serum creatinine & BUN are easiest and simplest for such. Meanwhile, working on healthy lifestyle without overindulgence & obsession is the foundation for all care/longevity. More? Peruse articles listed in http://www.formefirst.com/onDealSickness.html, http://www.formefirst.com/onLifeBasics.html, & http://www.formefirst.com/eMagicPowerUHL.html. Thereby you learn more on how-to ...Read more
Male 58,diabetic since last 12 years , heart patient . recent kidney test show serum creatinine 1.4 .urea,uric acid normal. is it due to kidney damage?
Here are some ...: Creatinine at 1.4 mg/dl is at its upper limit, which could suggest his renal function has reached its marginal status, which is possible for someone at 58 with heart condition. Fact: Serum creatinine would not change until a loss of some 65% of total renal function. So, maintain adequate hydration, avoid kidney-damaging drugs, and watch it closely. For detail, ask Doc timely. ...Read moreSee 3 more doctor answers
High blood sugar: Pregnancy can make a woman's body resistant to Insulin (similar to type 2 diabetes). If she was not diabetic before being pregnant and meets one of several sets of criteria for diabetes after becoming pregnant, then she may have gestational diabetes. This gives her an increased risk of developing diabetes after delivering the baby. Usually found during routine glucose tolerance testing. Thanks! ...Read moreSee 1 more doctor answer
Nope: Those are excellent numbers, even going to a little low. Diabetes is not a concern until your fasting glucose starts going over 100, and it isn't called diabetes until higher than that. A1c would also be much higher (6.5% or above is diabetes, 5.7-6.4% is increased risk, 4-5.6% is normal). Good luck! ...Read moreSee 1 more doctor answer
An ACE INHIBITOR : Try an ACE INHIBITOR such as prendropril or lisinopril. But see a good nephrologist, kidney doctor, for monitoring polycystic kidney disease. Follow up with doctor is key and control blood pressure. People with polycystic kidney disease can also get liver and brain cysts. Therefore please ask doctor for a plan to watch out for those problems as well. ...Read moreSee 1 more doctor answer
A1c 5.7 glucose 120 insulin 122.1 , do I need any meds, am i diabetic or pre diabetic. Family history type 1 diabetes.
Pre-diabetes: Impaired faisting glucose is used to describe fasting glucose btw 100 and 125. Your Insulin level is also quite high suggesting that your body does not respond to Insulin normall (insulin resistance). Losing weight will help your body improve its responsiveness to Insulin and keep sugars in a normal range. Many people w/ Insulin resistance do well w/ diet with minimal sugar & white flour. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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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