is it possible to improve kidney function

Aww sounds so unfair seeing as your control has been good. Hope someone can offer some useful insight. Also hope your good control can reverse some damage xx


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I have shown micro albuminuria a number of times over the years and have discussed it with various professionals. However your consultant/DSN/dietician should be your main advisors. Anyway these are the points I have picked up:-

i) Your diabetes must be well controlled. Typically an HbA1c of 7.0 or below achieved without wild fluctuations in BG should be the aim. Your team should be setting the target.
ii) Well controlled BP is very important. My team’s target is 125/75 but again this is something to be discussed with your consultant/GP.
iii) If you are/put on (to) BP medication ACE inhibitors (end in ..april) also seem to beneficial is avoiding kidney damage. Sometimes low dose are prescribed even if BP is in the acceptable range
iv) Reduce salt intake.
v) Cholesterol has never been mentioned but a figure of 4.0 or below should be the aim
vi) Drink plenty of fluids – water is best! Limit alcohol and never over guidelines
vii) Avoid overdoing protein intake. Normal portions should be OK unless otherwise advised but huge steaks, 8oz burgers, etc. are best avoided. Typical daily intake should be around 8 oz per day for the average person. There is some suggestion that poultry (chicken, turkey, etc.) is better than red meat - these are also lower in fat.

I am not a medical professional and you really need to discuss these things with your team. A low protein diet should only be undertaken under the advice of a kidney specialist as it can be unhealthy in other ways.

leb said:

Hi all
I haven't been on for a while as my retinopathy cam back with a vengeance. Ive now had a vitrectomy in both eyes anf am hoping that's the start of the end tomy eye pproblems.
Anywsy I got a call from my dn to say my kidneys have got worse and im now in stage 3 of ckd. My ladt gfr was 46. I saw on another post that Whitby jet had improved from stage 3/4 back to 2 and was hoping you could share how you did this. Im so scared right now. It seems so unfair as ive got my diabetes under really good control over the last year and seem to be getting all the complications at once. Any advice from any who have nanaged to improve their kidney function would be very much appreciated.
Thanks in advance
Leb

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Hi,
I've had renal problems for over 10 years now and been at CKD stage 3 for about 6 years. I was put on the SKP transplant list about 5 years ago when my gfr dropped to 25. The team at teh Oxford John Radcliffe hospital ran all the pre-op tests on me and I saw them every few months. I suffered ulcers on my foot, which meant that I could not be put forward for transplant and my place on the list was held until the ulcers were healed. They never healed and I lost some toes...but suddenly my grf started to go up.
The overall result is that I now have a stable grf of around 35. Although I'm still in the stage 3 CKD range, I am off the transplant list and back to just the 6 monthly renal checks. I'm pretty sure that the infection was there over a long time and that was what was bringing my output down.