Question about kidney disease.

[blizzard2014]

Hey, I just got home from the ER last night for a Gallbladder attack. I noticed that there were many abnormal test results on my bloodwork. I had a slightly lower EGFR and high BUN rate around this time last year, but with a normal Creatinine level. Last night's blood test results show a BUN of 30, a Creatinine level of 1.71, and an EGFR of 44. I also have protein in my urine. The Urine was foamy and frothy. Apparently that is straddling the line between stage 3b CKD and stage 4 CKD. I have been a diagnosed diabetic for 5 years now, but probably had it for a lot longer before my diagnosis. I also have very erratic blood pressure. It mostly goes to stroke levels when I stand up. It can be completely normal sitting, then it will go to 170/120 with a dramatic elevation in heart rate within a minute of standing. I have been controlling the sitting BP issues with Lisinopril and the standing ones with Clonidine.

I have been having a lot of constant headaches, very bad muscle and bone pain, weakness in legs and arms, and bouncing back and forth between disruptive sleep and sleeping for many hours a day. I also have untreated moderate sleep apnea. I have a horrid diet and was eating whatever I wanted and merely injecting fast acting insulin to deal with the sugar spikes. Sometimes I would go high for 2 hours, then low to the 40's and 50's, then bounce back up to the 200's and stay that way for a day. I had to stop using insulin 2 weeks ago because of nausea and vomiting. I vomit up completely undigested foods. I never know when I will get sick eating and if I vomit all my food and the insulin hits, and I can't hold anything down, I will get a sever hypo. I will be seeing my doc again soon, but last time he just brushed all of the tests off because the EGFR was still close to normal. It has lost like 40 or more points since this time last year. Can this be a fluke? Can having a bad Gallbladder mask the results of these tests? Any advice would be greatly appreciated.

[Bet117]

Blizzard,

I am no doctor, but in all honesty, eating poorly can do all kinds of things to your system. Most importantly check with your doctor to try to control your BP, cholesterol, glucose and the gall bladder and kidney symptoms.

If you are not getting the satisfaction and answers that you ask of your doctor, find another as you can't continue in the manner in which you are going.

The diabetes, insulin dosage and diet all play huge roles in what you are experiencing.

Many diabetics leak protein and are easy prey for CKD.

If you are having sugar spikes and eating alot of fried foods and junk, it probably contributed to your gall bladder attack. Again, I am not a doctor, but your visit to the ER was a wake-up call. Sure, even a sinus infection can throw your labs off, but you and your doctor have more to look at here.

Eating clean may help you in many areas. It will help your gall bladder, even your sugar spikes and low sugar attacks and lower your BP as you will lose weight naturally.

To begin, eliminate red meats, fried foods, prepared foods and those which are heavily salted.

My husband is the only one of the children in his family who have not had their gall bladder removed as living with me, he has made changes to his food choices.

They lived on fried foods, potatoes loaded with butter, sour cream and salt, ice cream sundaes, chips and gravies.

My brother is a severe diabetic without CKD. Despite work stress which contributes to his hypo-glycemic attacks, he is not starving but eating cleaner has really made a difference for him. Labs have greatly improved.

Kidney-friendly diets are similar. Low protein, limited to no red meats; low sodium (1200-2000mg per day) eliminate cold cuts, sausages and bacon as well as canned soups and prepared meals.

Watch your potassium and phosphorus. Dairy in moderation such as greek yogurt, low sodium cottage cheese. I use fat free non dairy creamer in my coffee.

Light wheat breads or lower

sodium English muffins, Cream of Wheat, Oatmeal and Rice Cereals are good.

Eggs, egg whites, chicken and fish are fine. Salmon has alot of omega 3 oil in it.

Hummus, beans that are washed are also good.

Eat alot of fresh or fresh frozen vegetables such as onions, red and green peppers, cabbage, eggplant, zucchini and summer squashes, cauliflower and even some broccoli which has alot of protein in it. Salads with lots of onions, peppers, cucumbers, even add in skinless chicken, washed chick peas and low sodium dressings ( under 220

mg) are good.

Alot of fresh fruits such as apples, blueberries, strawberries and pineapple.

Tomatoes are high in potassium so check with your doctor or a Dietician

Bear in mind that sugary foods not only raise the glucose levels but also promote inflammation, so be aware.

An Apple pecan salad at Wendy's is a far better choice than a double burger with sauce, bacon and fries.

Again, please see the right

people for evaluation, better medication doses and diet to get you on the right track.

Please get back to me and let me know how you are feeling and where your tests are revealing.

I care..

Sending you good and positive thoughts..

Bet

[Bet117]

Mr._Kidney, are you out there?