Suggest Treatment For Early Renal Parenchymal Disease In A Diabetic Person

Posted on Wed, 15 Jul 2015

Question: I am 60 yrs, 164 height, 68 kg weight. I am diabetic since last 12 years. So far there was no problem and maintaining good health. But unfortunately I am not very sincere on medication provided by the doctors from time to time. As a result today I am diognised with Early Renal Parenchymal disease while scanning. Surprisingly for me my HbA1c today is 9.1,serum urea 47.0, scr 1.8, uric acid 9.0, PG fasting 158, PP 143, total cholesterol 149, billirubin total 1.0, GPT 26, GOT 18, Alk. Phos. 104, Bilirubin 0.20. Thyroid Profile - T3 1.17, T4 8.97, TSH 0.81. ECG normal.
Kindly advise me as to how can I get the best treatment for restoration of the damaged cells of kidney. Also kindly advise how to maintain and save it?

Answered by Dr. Divakara (56 minutes later)

Brief Answer:
Be disciplined in taking medicines.

Detailed Answer:
HI

Greetings from Dr.Divakara.P
Thanks for posting your query.

Well I went through your reports. Due to your negligence your blood sugars has got out of control and has damaged your kidneys slightly.

Well with adequate control of sugars , there is a chance that the kidney damage could be reversed to some extent but not completely.

Things you need to do to save and maintain your kidney health :

1. Take your sugar medicines regularly and never skip them.
2. Follow good diabetic diet .
3. Daily aerobic exercise -- 15-30 minutes per day.
4. Avoid any medications that can damage kidneys: For example Pain killers. Never self-medicate for any purpose. Even when you consult a doctor insist on Kidney safe medications.

Go for regular check up with the doctor . I would recommend you to repeat FBS and PPBS after 4 weeks.

Also I would recommend FUNDUS EXAMINATION ( Eye check up ) yearly once.

Hope this information was useful to you.
Any clarifications feel free to ask .

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (36 minutes later)

Thanks a lot Doctor. I used to visit Doctors regularly but too much antibiotic for cough and cold and pain killer prescribed by the Doctors during last few years must have damaged my kidney and other parts.
You said it can be reversed though no fully, what shall I do for it? At least to prevent any further damage?
My blood sugar level Fasting is 116 this morning and yesterday it was 121, should I continue with the medicine Amaryl 1?

Kindly advise me some more about the disease and its prevention.

With regards,
D. Choudhury

Answered by Dr. Divakara (22 hours later)

Brief Answer:
Continue same medicine.

Detailed Answer:
HI

For prevention of further damage of kidney follow the advise in the previous reply.

Yes as of now just continue Amaryl 1 and repeat FBS , PPBS after 1 month .

Good diet is the key for sugar control :

Avoid sweets ,. fruit juices .
Eat light lunch and dinner.
Increase the intake of vegetables in your diet.
Drink plenty of water.

Exercise also plays important role :

Do daily aerobic exercise like Brisk walking, Jogging, Running, Swimming for at least 20-30 minutes a day. Gradually increase your intensity of exercise.

Hope this information was useful to you.
Any clarifications feel free to ask.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (1 hour later)

Thanks Doctor. I am a regular morning walker, I used to walk for 45 - 60 minutes every day. Excepting this diabetic problem I have no other complications. I also used to go for eye check up at least once in every year. I shall now on be very particular about the sugar medicine. I have already prepared a diet chart by a dietician and try to follow it.

Is there any medication available for curing the disease? How can it be reversed? There must be some treatment available for it. Kindly educate me.

Answered by Dr. Divakara (14 hours later)

Brief Answer:
No medicines to cure , just keep your sugars under control.

Detailed Answer:
HI

Thanks for posting your query.

No there are no medicine to cure the disease ( Kidney Damage ) . It can reversed but not completely. I have advised regarding steps you need to do in my first reply. Anyhow I will repeat it again.

Things you need to do to save and maintain your kidney health :

1. Take your sugar medicines regularly and never skip them.
2. Follow good diabetic diet .
3. Daily aerobic exercise -- 15-30 minutes per day.
4. Avoid any medications that can damage kidneys: For example Pain killers. Never self-medicate for any purpose. Even when you consult a doctor insist on Kidney safe medications.

Go for regular check up with the doctor

Regards.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Shanthi.E