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My T1 husband has kidney failure. He's not reached endstage, but the medics say it's only a matter of time and in about 18 months he's likely to need dialysis or a transplant.. We had a meeting with the dialysis nurse yesterday and she went through the options with us and showed us the graph of the decline over several years.. I'e been trying to get his diet appropriate for the situation ie, low carb and low protein. The slope of the graph has got more shallow, so now I'm making food which is mainly veggies with a little fat and small amounts of protein. If he can lose weight it might help with blood pressure too,and help the kidneys cope better. His BP is OK by medic standards, on tablets, but weight loss from 112 Kg [6feet 3 inches BMI around 31] would help. Unfortunately, failing kidneys don't excrete insulin well, so he tends to have too much circulating. too much insulin makes losing weight difficult.
He's already had to reduce his insulin to about 1/3 of what it once was and the nursesays it will go down again.
I'm working hard to make menus which he finds tasty and which fit the needs.
this js just one more complication. He's ad lasered eyes and a vitrectomy, which has pretty much taken the sight of one eye and he has 2 Charcot feet..
I'm writing this not to get sympatrhy. We're coping Ok, but to warn others to keep ttheir blood sugars D)OWN. It's the sugar which damages all the micro blood vessels and leads to all this. T1 didn't manage his BG at first and of course there were no BG meters for self use 40 years ago. Now we have the means to control/monitor diabetes. Everybody should try their hardest to do so.
Hana
He's already had to reduce his insulin to about 1/3 of what it once was and the nursesays it will go down again.
I'm working hard to make menus which he finds tasty and which fit the needs.
this js just one more complication. He's ad lasered eyes and a vitrectomy, which has pretty much taken the sight of one eye and he has 2 Charcot feet..
I'm writing this not to get sympatrhy. We're coping Ok, but to warn others to keep ttheir blood sugars D)OWN. It's the sugar which damages all the micro blood vessels and leads to all this. T1 didn't manage his BG at first and of course there were no BG meters for self use 40 years ago. Now we have the means to control/monitor diabetes. Everybody should try their hardest to do so.
Hana