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Medical Forum / Diseases and Disorders / Diabetes / August 2007

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john - 12 Aug 2007 01:16 GMT
Ok I've been type 2 for 21 years.  The creatinine level of my kidneys is up
to 2.0.  I kept asking my Dr. what can I do to slow the progression of
kidney disease down and I am not getting any clear answers.  One big
problem.  I have had some success following Dr. Bernsteins' plan but the Dr.
says I have to give up the Metformin because of the creatinine level.  This
is not good because without it my blood sugar goes up towards 200.  He's
prescribing Glipizide for me now and I don't read very good things about
this drug.  If it's anything like Glyburide I know all about it because I
have taken that drug along with Metformin for many years.  What about the
kidney disease?  Am I near dialysis?  Do I have to watch grams of protein,
phosphorus, potassium.. What lever does creatinine have to be at before
dialysis starts.  Thanks for any advice.  John
Andrew B. Chung, MD/PhD - 12 Aug 2007 01:29 GMT
> Ok I've been type 2 for 21 years.  The creatinine level of my kidneys is up
> to 2.0.

Sad to read about this.

> I kept asking my Dr. what can I do to slow the progression of
> kidney disease down and I am not getting any clear answers.  One big
> problem.  I have had some success following Dr. Bernsteins' plan but the Dr.
> says I have to give up the Metformin because of the creatinine level.

Correct.

> This
> is not good because without it my blood sugar goes up towards 200.  He's
[quoted text clipped - 3 lines]
> kidney disease?  Am I near dialysis?  Do I have to watch grams of protein,
> phosphorus, potassium..

High protein intake will accelerate declines in kidney function.

> What lever does creatinine have to be at before
> dialysis starts.

Lose of appetite will indicate a need for dialysis to start.

Would suggest you have your doctor supervise your use of the diabetic
2PD-OMER Approach to lose the bad "inside" fat in order to cure your
insulin resistance (IR/MetS) and possibly your type-2 diabetes too:

http://HeartMDPhD.com/HolySpirit/Healing

This completely free Approach comes with free cardiologist support via
usenet and an unprecedented million-dollar guarantee:

http://TruthRUS.org/Guarantee

>  Thanks for any advice.

You are welcome, John :-)

Be hungry (stomach singing and laughing)... be healthy (no VAT -- no
IR/MetS)... be blessed (surrounded by good things which all serve to
make you even hungrier :-):

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
aladin@brasspot.com - 12 Aug 2007 01:33 GMT
Ask your doc for byetta.
Kurt - 12 Aug 2007 02:14 GMT
> Ok I've been type 2 for 21 years.  The creatinine level of my kidneys is up
> to 2.0.  I kept asking my Dr. what can I do to slow the progression of
[quoted text clipped - 8 lines]
> phosphorus, potassium.. What lever does creatinine have to be at before
> dialysis starts.  Thanks for any advice.  John

I'm not an expert when it comes to kidney problems, but my opinion, as
opposed to advice, is that you set up a consultation with an
endocrinologist that specializes in diabetes.  In the meantime here
are a few professional links that might offer some help and/or
answers.

http://diabetes.org/type-2-diabetes/kidney-disease.jsp
http://www.joslin.org/754_873.asp
http://www.kidney.org

Kurt
Susan - 12 Aug 2007 03:39 GMT
> Ok I've been type 2 for 21 years.  The creatinine level of my kidneys is up
> to 2.0.  I kept asking my Dr. what can I do to slow the progression of
[quoted text clipped - 8 lines]
> phosphorus, potassium.. What lever does creatinine have to be at before
> dialysis starts.  Thanks for any advice.  John

There are a number of things that cause creatinine to rise, and not all
of them are related to kidney damage.  Dehydration can cause it to be
elevated, strenuous exercise can do it, very high protein diet can do
it, to name a few.

Susan
KC - 12 Aug 2007 05:22 GMT
> Ok I've been type 2 for 21 years.  The creatinine level of my kidneys is
> up to 2.0.  I kept asking my Dr. what can I do to slow the progression of
[quoted text clipped - 8 lines]
> of protein, phosphorus, potassium.. What lever does creatinine have to be
> at before dialysis starts.  Thanks for any advice.  John

I agree with some things that others have said: Byetta sounds like something
to ask about, and other things besides kidney disease can cause high
Creatinine levels.  I was on a blood pressure med called Aldomet when I was
trying to conceive, pregnant and breastfeeding because it is safe for the
infant.  But, my creatinine was always a little high when I was on it.  My
creatinine levels are fine now that I am off of it.  The doctor at the time
just thought I had some kidney damage, but later I read online that Aldomet
can cause this.

If you do really have kidney disease then, I would consider insulin as an
alternative for blood sugar control (if the Byetta doesn't pan out).  I
personally would rather inject insulin than take Glyburide because Glyburide
has the potential for burning out your pancreas and insulin allows pretty
easy tight control.

Tight control of blood sugar and blood pressure is key for not damaging the
kidneys further.

My mother has kidney disease (but no diabetes).  She got it from having many
urinary infections in her life.  She eats a low protein diet to slow the
progression of kidney disease.

KC
Sean - 12 Aug 2007 05:58 GMT
> Tight control of blood sugar and blood pressure is key for not damaging the
> kidneys further.
>
> My mother has kidney disease (but no diabetes).  She got it from having many
> urinary infections in her life.  She eats a low protein diet to slow the
> progression of kidney disease.

 I lived with Kidney disease for 24 years before they failed.  Low/no
salt, control of BG and blood pressure, low protien diet, and low
potassium are all standard and worthwhile efforts.
 Things I've learned since the transplant (and no one told me
before), my x-plant Doc has me on 1200mg of omega 3 fish oil, 3 times
a day.  He says it is now well accepted that the omega 3's help
prevent, and slow the advancement of renal disease.
 When my creatnine hit 3 is when they got concerned, when it hit 8
they put me immediately on dialysis.  I have a good friend that lived
for a year at the 4-6 range and never went on dialysis, she went
straight to x-plant (had a twin sister willing to save her life.)  Now
it runs about 1.4 and the docs are very happy.
 Also avoid high stress, it can have an effect on the kidney health.
During my years the only time I had serious bouts with the disease was
after things like houshold moving, getting sick with the flu and
trying to 'tough it out' rather than getting lots of rest and fluid.
etc...
 Above all keep it monitored!  If you have the insurance and the
doctor agrees, get regular blood tests and talk to a nephrologist.  I
found a lot of doctors 'think' they know all they need to about kidney
disease and I had one experience that put me in the hospital from bad
doctoring directly related to ignorance about kidney disease.
 Good luck and best wishes.

Sean
Loretta Eisenberg - 12 Aug 2007 23:00 GMT
John, I am sorry that I cannot help you because I dont know anything
about creantine levels and dialysis.  I just wish you luck and hope that
it doesnt have to come to that.

Loretta
 
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