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I am 48 years old, height 170, weight 96. I was diagnosed with type 2 diabetes 15 years ago. At the moment I am taking metformin.hydrochlorid 1g one tablet in the morning and two in the evening and januvia/sitagliptin/ 100mg one tablet in the evening and insulin one injection per day lantus 80 ml. In January, I passed a daily urine test and the protein was 98. Please advise what medicines I can start taking for the kidneys. Unfortunately, I cannot go to a Russian-speaking doctor because I live abroad. There is a lot of conflicting information on the Internet, so I would be very grateful for an answer.

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Please advise what medicines > I can start taking for the kidneys.

Good afternoon Interested in kidney treatment. Type 1 diabetes. What kind of drips or therapy should be done? I have been sick since 1987, for 29 years. Interested in diet as well. I will be grateful. He treated with droppers, Milgamma and Thiogamma. For the last 5 years I have not been in the hospital because of the district endocrinologist, who constantly refers to the fact that this is difficult to do. To go to the hospital, supposedly you need to definitely feel unwell. The arrogant indifferent attitude of the doctor, who absolutely does not care.

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First of all, you need to take blood and urine tests, and then calculate the kidney glomerular filtration rate (GFR). Read the details here. If the GFR is below 40, a low-carbohydrate diet is prohibited, it will only accelerate the development of kidney failure. I try to warn everyone - get tested and check your kidneys before switching to a low-carb diet. You didn't do it - you got the corresponding result.

First of all, you need to take blood and urine tests, and then ultrasound.

Thanks for your titAnic works and for our education. This is the best information for a long voyage on the Internet. All questions are studied and presented in detail, everything is clear and accessible, and even the fears and fright from the diagnosis and the indifference of doctors have evaporated somewhere.

But what about the diet if there are problems with the kidneys? In winter, you can�t go far on one cabbage and vitamins. Diabetic nephropathy is a lesion of the renal vessels that occurs with diabetes mellitus, which is accompanied by their replacement with dense connective tissue (sclerosis) and the formation of renal failure. Causes of diabetic nephropathy.

Tell me what to do with ketone indicators in the urine that appear with a low-carb diet, and how dangerous are they?

Diabetes mellitus is a group of diseases resulting from a defect in the formation or action of insulin, and is accompanied by a persistent increase in blood glucose levels. In this case, type I diabetes mellitus (insulin-dependent) and type II diabetes mellitus (insulin-independent) are distinguished. With prolonged exposure to high glucose levels on blood vessels and nervous tissue, structural changes in organs occur, which lead to the development of complications of diabetes. Diabetic nephropathy is one such complication.

In type I diabetes mellitus, mortality from kidney failure is in first place, in type II diabetes it is second only to cardiovascular diseases. An increase in blood glucose levels is the main provoking factor in the development of nephropathy. Glucose not only has a toxic effect on the cells of the kidney vessels, but also activates some mechanisms that cause damage to the vascular wall and increase its permeability.

Damage to the kidney vessels in diabetes. In addition, an increase in pressure in the vessels of the kidneys is of great importance for the formation of diabetic nephropathy. This is a consequence of inadequate regulation in diabetic neuropathy (damage to the nervous system in diabetes mellitus). In the final, the damaged vessels are replaced by scar tissue, the function of the kidney is sharply disturbed. Symptoms of diabetic nephropathy.

There are several stages in the development of diabetic nephropathy.

Stage I - hyperfunction of the kidneys. Occurs at the onset of diabetes. The cells of the kidney vessels increase somewhat in size, the excretion and filtration of urine increases. Protein in the urine is not determined. External manifestations are absent.


Stage II - initial structural changes. Occurs on average 2 years after the diagnosis of diabetes mellitus. It is characterized by the development of thickening of the walls of the vessels of the kidneys. Protein in the urine is also not determined, that is, the excretory function of the kidneys does not suffer. There are no symptoms of the disease.

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Over time, usually after five years, stage III of the disease occurs - incipient diabetic nephropathy. As a rule, during a routine examination or in the process of diagnosing other diseases, a small amount of protein is determined in the urine (from 30 to 300 mg / day). This condition is called microalbuminuria. The appearance of protein in the urine indicates significant damage to the vessels of the kidneys. The mechanism of the appearance of protein in the urine.

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