显示标签为“Diabetes”的博文。显示所有博文
显示标签为“Diabetes”的博文。显示所有博文

2014年5月12日星期一

Suggestion Foods for Renal Disease Patients With Diabetes

Diabetes is easy to become kidney problem if you don't treat it timely.In other hand.The right food is very important for Diabetes Patients.If you don't pay attention to the food of Diabetes.There will be more risk to develop into kidney problem.

Blood glucose is affected by everything you eat, and the kidneys also process beverages and food. Controlling glucose levels with diet or medications can help protect against kidney damage. Insulin is a hormone that regulates blood glucose in the body. When insulin is out of balance due to diabetes, nephrons--which are the kidneys- filtering units--are gradually worn away. Giving the body artificial insulin will control blood glucose levels and prevent the damage to the kidneys.
Drinking plenty of pure water and keeping health conditions under control will help to protect your kidneys.
People who have kidney problems and diabetes need to eliminate foods that contain excess sodium and potassium, as these require additional filtering and too much can further weaken low-functioning kidneys.

Vegetables and Fruits

Avoid starchy vegetables like baked potatoes, sweet potatoes, yams and dried beans. Instead choose vegetables that are easy to digest such as peas, dark green leafy lettuce, asparagus, beets, broccoli, Brussels sprouts, carrots, and eggplants. Eat your vegetables raw or steam them to maintain vitamin and mineral content.
Since diabetics need to limit fruit juice intake, avoid orange juice and processed juices and instead choose fruit juices that are good for the kidneys, such as pure cranberry juice or homemade apple juice. Bananas should be limited because they contain potassium.

Breads and Starches

People suffering with renal disease and diabetes should avoid white and whole wheat bread, refined cereals and white rice. Instead, choose sprouted bread that does not contain additives. Corn bread, malt-o-meal and noodles are okay in small quantities. You will need to look on the label because some breads contain high fructose corn syrup, which is not good for people with both of these conditions.

Milk and nondairy

Dairy products contain vitamins, and minerals such as calcium, but the type of dairy foods you consume is important. Avoid chocolate milk, buttermilk and sweetened diary products such as flavored yogurt and ice cream. Instead, choose healthy options such as skim or fat-free milk, plain yogurt, sugar-free pudding, sugar-free yogurt, raw cows' milk or raw goat milk.
Considerations
If you decide to drink raw milk, buy it from a clean, local, organic dairy. Raw milk contains high levels of vitamins, minerals, enzymes and beneficial bacteria. If raw milk is purchased from a clean dairy it is perfectly safe for consumption.

Treatments

If the suitable food combined with the right therapy.In my mind will occur amazing effect.Do you want to know what is the right therapy for your kidney disease?
Micro-Chinese Medicine Osmotherapy is a good Choice for your Diabetic Nephropathy. Because this therapy will take effect directly in your kidneys.Because this therapy in virtual of a machine.this machine can make the Chinese herb infiltration of the kidneys.

Have any questions about this therapy? Don't hesitate Consult out online doctor from the following box .Or you can send me an e-mail to kidney-treatment@hotmail.com .

2014年5月8日星期四

Stages 3 and 4 Chronic Kidney Disease with Diabetes in the older people

If one person suffering from Diabetes for a long time,therre will be damaged one's kidneys.If you don't adopt the right treatment.Diabetes may be lead to kidney Failure.

Dedicated European and US clinical guidelines for type 2 diabetes in the elderly have been released, but they do not specifically address the issue of advanced chronic kidney disease (CKD) in older patients with diabetes. General clinical guidelines have been published on the treatment of patients with diabetic nephropathy (DN), but these address the issue of how to prevent progression and treat advanced DN without distinguishing between different age groups. Elderly patients with diabetes and stages 3 to 4 CKD have particular needs that differ from those of younger patients with the same conditions. This is mainly due to their frailty and shorter life expectancy. Differently tailored therapeutic strategies are needed, which may have less stringent targets; and the use of common drugs should be critically evaluated. The management agenda (metabolic control, low-protein diet, controlling BP, preventing progression of advanced DN, preventing cardiovascular outcomes) for these patients is discussed in light of the limits and perspectives of current guidelines. Intensive, simultaneous management of all items on the agenda may not be feasible for a proportion of older patients, and clinicians may have to give priority to reducing some risk factors rather than others, choosing between different therapies.
In 2004, the European Diabetes Working Party for Older People launched its “Clinical Guidelines for Type 2 Diabetes Mellitus” specifically dedicated to the elderly (the European Diabetes & Aging Guidelines for short [EDAG]) (1). Guidelines for Improving the Care of the Older Persons with Diabetes Mellitus were also developed in the United States in 2003 (American Diabetes & Aging Guidelines for short [ADAG]) (2). There is a dual rationale behind guidelines specifically dedicated to the elderly. First, older people with diabetes have special needs. Second, with the demographic changes occurring in Western populations, the number of elderly individuals with diabetes is expanding dramatically. These people's life expectancy is considerably reduced: Whereas a 74-yr-old Western man without diabetes has an average life expectancy of approximately 10 yr and a woman of approximately 12 yr, when they have diabetes, their life expectancy is roughly 4 and 6 yr shorter for men and women, respectively (3).
Demographic changes in Western populations also have a significant impact on renal care. In many Western countries, the elderly now represent the most rapidly growing population initiating dialysis. In the United States, the median age of the incident population starting renal replacement therapy reached 64.6 yr in 2005, and the incidence of ESRD by age >75 yr was approximately 1500 pmp, 750 in Canada, and 500 in Italy (4). Because the prevalence of diabetes has been increasing among the elderly, it is hardly surprising that elderly individuals with diabetes contribute substantially to the overall burden of stage 5 chronic kidney disease (CKD) in Western countries. In 2005, in fact, one third of the incident cases of ESRD in the United States in people who were older than 75 yr had diabetic kidney disease (4).
Two very recently released publications are also of interest in the present contention, the Kidney Disease Outcomes Quality Initiative (KDOQI) Clinical Practice Guidelines and Clinical Practice Recommendations for Diabetes and Chronic Kidney Disease (5) and the Quality Indicators for the Care of Vulnerable Elders (the Assessing Care of Vulnerable Elders 3 [ACOVE-3] initiative) (6). Only the former marginally addresses the issue that elderly people with diabetes and CKD warrant special treatment considerations, but neither of them nor the EDAG and ADAG specifically addresses the topic of advanced CKD in older patients with diabetes. This review aims to make up for this shortcoming relating to the treatment of elderly people with diabetes and advanced renal impairment (i.e., in stages 3 and 4 CKD). As the lower age limit, we consider patients between 70 and 80 yr because such long-lasting patients with diabetes are most likely to have a considerably reduced life expectancy and a number of diabetes-related comorbidities. The relevant clinical issue here, however, is the patients’ vulnerability, not their age, so our considerations could also be extended to younger, frail patients with diabetes and stages 3 to 4 CKD.

An attempt has been made to quote and grade the level of evidence. There is a sizable amount of good-quality research on the prevention and management of the complications of type 2 diabetes and related aspects, but most of it is not specific to elderly patients, and none of these studies concerned elderly people with advanced CKD. Most of the suggestions have consequently been classified simply as clinical practice recommendations (CPR), at the level of “opinion-based” advice, whereas a clinical practice guideline (CPG) has been proposed in just one case.

Treatments of CKD

In early stage of CKD you can use Chinese Medicine to control the development of kidney disease. If you has entered stage 3 or 4 stage of kidney disease.You can use some special treatment.Do you heard Micro-Chinese Medicine Osmotherapy.This therapy make the Traditional Chinese Medicine enter your kidneys through your skin directly.So the Chinese Medicine can quickly take affect.

If you also have other questions about your kidney Disease,or if you want to know therapy about CKD.Contact me through kidney-treatment@hotmail.com .

2014年5月6日星期二

What is the relationship between diabetes and creatinine level?

Do you want to know how does diabetes lead to high creatinine level? And Do you want to know the relationship between diabetes and high creatinine level?
My mother was diagnosed with kidney problem and infection in her urine/blood. A nephrologist cleared out the infection she had but by that time her creatinine level had gone up to 8. The doctor prescribed Endoxin and Wysolone medication. After that her haemoglobin and white cells went beyond the range. In 2 subsequent visits doctor checked her creatinine which was found to be 4.9 & 5. Her sugar was found to be 536 and the doctor said that this was because of Wysolone hence he reduced the dose from 25 to 15 mg. After that her sugar levels came down to 430. Recently the doctor advised her to take insulin with 4,4,4 units daily (3 times) to maintain her sugar levels & asked her to go on a strict diet. When we measured it after 3 days after stating insulin, her sugar level came down to 230. We consulted our doctor so he increased the insulin dose as 6,4,4. Her creatinine level still varies between 4.5 to 4.9. I need your opinion about the same. Can her creatinine & glucose levels come down to normal in future with the current medication & diet? Will she face any other problem/complications in future and what precautions should we take to avoid further complications? My mother is 56 years old and weighs 66kgs. She has high blood pressure since 10 years and is taking ATANOL-50.

Issues to be addressed in query are 1) Wysolone (steroid) induced Diabetes mellitus and 2) DM and raised creatinine levels (kidney failure).
There is a relationship which exists between Diabetes Mellitus and raised creatinine levels. Usually this situation arises when DM is there for a long time and not controlled and this situation is called as diabetic nephropathy meaning kidney disease due to DM. Initially this presents as protein in urine but as the disease progresses creatinine level goes up. This type of kidney failure is irreversible and these patients need dialysis and renal transplant.

In your mothers case high creatinine levels are not due to DM but seems to be due to glomerulonephritis which can be treated. Best person for this is a nephrologist. In this case the blood sugars are high because of wysolone and hopefully blood sugars should come down when wysolone is tapered off. But with such a high levels of sugar your mother needs higher doses of insulin i.e., at least 10 units of Actrapid/Huminsulin R 30 minutes before meals three times a day and Insulatard/ Lente 10 units at bed time. Home monitoring of blood glucose is also needed. For control of blood sugars please get in touch with an endocrinologist or daibetologist or provide us more details so that we can advise you accordingly.

How to lower high creatinine level naturally?


In order to treat high creatinine level in diabetes,we need to take measures in diet perspective and treatment perspective.
Diet Plan
Have less meat.Meat is the resource of creatinine.Therefore heavy burden can be relieved day by day.
Have a low-sodium diet and kidney functions can be protected timely and immediately.
Kidney Treatment


Micro-Chinese Medicine Osmotherapy is a good choice to lower your high creatinine level.This therapy combined Chinese herbs and Modern Machine.In other word,this therapy combined Traditional Chinese Medicine and Western Medicine.So this is a Innovation in kidney disease treatment.

Do you want to know more about this therapy.Contact me through kidney-treatment@hotmail.com .

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