Re: i had a kidney falur 2 yrs ago because of diabetes
There are lots of people here very knowledgeable about diabetes, if you post specific questions hopefully people will be able to help. Here is link to the advice for newly diagnosed diabetics that the moderators have written, I think it's useful for everyone with diabetes:
Re: i had a kidney falur 2 yrs ago because of diabetes
i think a lot of people have the same condition with you, and you are so lucky that you have enough money to do a transplant. think about those who have no money, they are still sticking to fight with illness, so you can't give up. don't let god's mercy in vain.
An obese patient with type 2 diabetes whose diet was changed from the recommended high-carbohydrate, low-fat type to a low-carbohydrate diet showed a significant reduction in bodyweight, improved glycemic control and a reversal of a six year long decline of renal function. The reversal of the renal function was likely caused by both improved glycemic control and elimination of the patient's obesity.
Re: i had a kidney falur 2 yrs ago because of diabetes
The case study mentioned above is a one off account of a 60yr old man who was obese and had poor glycemic control. The paper talks a lot about losing weight being part of the stabilisation
The reversal of the renal function was likely caused by both improved glycemic control and elimination of the patient's obesity
He was put on a diet of 80-90g carb a day but also restricted to 1800 calories. The diet was specificlly tailored for him. He lost weight from 100-80kg and this was acompanied by a fall HbA1c from 8+% to 6.5%, a drop in urine albumin and a more modest fall in creatinine levels . If you calculate his egfr from the numbers given he was in stage 4 CKD (egfr 22) and is still in stage 4 (egfr 29) so athough it has improved he still has poorly functioning kidneys
The authors of the paper are only advocating the possibility of trial of this type of diet to someone in a similar situation
In such patients, where control of bodyweight and hyperglycemia is vital, a trial with a low-carbohydrate diet may be appropriate to avoid the risk of adding obesity-associated renal failure to already failing kidneys
Many people with diabetes related CKD are in a very different situation. They may not need to lose weight. Some sadly are suffering the effects of poor glycemic control in the past, and may now have better control. MODY 5 can cause progressive renal failure in some people. Some people are underweight and some in the later stages may even be suffering from malnutrition.
Advice needs to be specific to the problem and I really think people who have failing kidneys need expert advice and to supplement it, if necessary from established sources such as