HAVE BEEN DIAGNOSED WITH DIABETIC NEPHROPATHY STAGE 2.IS IT IMPOSSIBLE TO STOP PROGRESSION OF CKD CAUSED BY DIABETIC NEPHROPATHY.

[Mwachibwago]

Was diagnosed with diabetic nephropathy(CKD 2)..last year 2021. February.. Initially,my egfr was a low of 19%...was referred to agakhan hospital, Mombasa, Kenya,..where after treatment,my egfr improved to 65.9%...After several check ups,my egfr stood at 80(for other races) and 93.9(for black race) and all parameters were within the normal range,with creatine at 93 during my last check up last month,March 2022..My LDL cholesterol levels a little bit high at 4.0914 against an upper ceiling of 3.4...my HBA1C was at 8.6% against a range of 4.0-6.5..urine test initial showed+1 and trace amount..but later urine tests gave nill protein..Am worried of the disease progression...Some people are saying it's not possible to stop progression of CKD caused by diabetes.. Anyone who can give me more information about diabetic nephropathy and whether it's impossible to stop it's progrssion.

Have started renal diet by taking more plant based foods,managed my diabetes within the normal ranges,started lifestyle changes, daily walking among others..Have lost a lot of weight from 86kg(December 2021) to 74kg(April 2022).

Please, advice me.

Thanks in advance.

Mwachibwago from Kenya

[DaveThebe]

You’ve done well about your weight. To be honest with you, I wouldn’t worry a lot looking at those numbers. A lot of people are labelled CKD unnecessarily. But as a diabetic you’re right to check your kidneys regularly as diabetes is a risk factor.

[Mwachibwago in reply to DaveThebe]

Thanks for the encouragement and advice.I joined this group yesterday and I find it very helpful after reading about other members battle with CKD...

[RoxanneKidney]

Don't eat meat and keep your BP down. Protein in the urine is the biggest concern . Keep checking for it. Get on an ACE or ARB.

[Mwachibwago in reply to RoxanneKidney]

What a wonderful advice,.You deserve a virtual hug...Have controlled my BP..takes BP tests and record the results daily..the systolic BP hovers between 95 and 120.. Diastolic BP between 64-89...the pulse rate 78-105(that worries me Abit)....Have an ACE(safetelmi) which I was using...but the BP within such ranges,I no longer take them.When I take them,the BP dips further down to below 90 systolic.

Thanks for everything.

At least am being enlightened about this condition...For the meat, can't I take lean poultry,at least twice a week?

Be blessed..And enjoy your labour day from that end..

[RoxanneKidney in reply to Mwachibwago]

No to the lean meat. Without going into the chemistry the way meat breaks down in the body is acid to the cells. So many plant based options regarding protein, like various bean and soy and the list goes on and on, that after awhile you won't even miss it.

[jodaer]

You can do whatever you want. The decision is yours and yours alone. But, look to the future and what and how you want to live? If you love chicken a lot, maybe cut back on the amount you eat, say 3 oz only and work to cut back to 1x a week. Just don't forget that everything we put in our mouths will affect us in many ways.

[Mwachibwago in reply to jodaer]

Thanks,but don't love any meat,be it white meat(chicken,fish) or red meat.. only that wanted to add some protein to my diet.. currently I take mostly beans,peas and lentils..Have not taken animal protein for sometime time.If it's not healthy to take lean chicken because of my condition,will do away with that idea.

Good afternoon.

Here it's 3:26 pm

[jodaer in reply to Mwachibwago]

it's 9:15 where I am. You have a good attitude, it will serve you well.

[alexask]

100mg Vitamin B1 3 times a day may help.

[Mwachibwago in reply to alexask]

Thanks Alexask.. Will find out the vitamins tabs from the nearby pharmacist, tomorrow

Be blessed

[KidneyCoach NKF Ambassador]

Your A1C at 8.6 is far too high and should be better controlled. High blood pressure and diabetes are the 2 leading causes of kidney failure and since you have both its critical to control them. In simple terms, YES, CKD can for the most part be slowed. Proper diet, hydration, controlling bp, diabetes, maintaining healthy weight, not smoking, getting good exercise, treating infection quickly and not taking NSAIDS can help stop or slow progression of CKD. Blessings

[Mwachibwago in reply to KidneyCoach]

Thanks kidney coach..you have made my day..Have tried to get all parameters under control,the blood pressure is under control now..Am battling with diabetes,but have been taking my blood sugar tests,the results are within the normal range4-6(fasting) and 5-10(2hrs after meals)...Am hopefully, during my next visit on 13/05/2022,the results will be favourable.

Once again, thanks a lot .

You are my pillar and physician

[Darlenia]

Hi! I really appreciate your willingness to address your situation. In short, those who have Type 2 Diabetes, can completely end the devastation that diabetes delivers to your kidneys by bringing glucose numbers (which fuels diabetes) into normal range. It's exceptionally important to realize that glucose hardens and scrubs out the blood vessels in your kidneys and elsewhere in the body - it causes amputations, blindness, kidney failure, heart issues, and more. Diabetes is the underlying cause; the kidney disease is the casualty. As for diets, the diabetes diet focuses on reducing sugars and carbs (which convert to sugar) and the renal diet focuses on reducing protein and electrolytes. So the two diets can be at odds with each other; for example, the diabetes diet doesn't approve of high carbs (rice, breads, sweet fruits, etc.) whereas the renal diet doesn't approve of meats (particularly red meats) and so on. It's best for diabetics to blend the two. When at a crossroads, remember to put the horse (diabetes) in front of the cart (kidney disease) to turn the situation to your best advantage. As for our story, my husband was in denial for years about his T2D and trusted meds and insulin to keep himself well; it wasn't until he was suddenly told he only had 7 years left to live that he realized he needed to do more for himself in terms of diet So he immediately began to drop weight by reducing sugar and carbs under the watchful eyes of his primary physician and nephrologist. His progress was amazing. His kidneys loved it. Unfortunately, too many vessels in his kidneys were damaged over the years and, with his increasing age, they suddenly stopped working at age 70. He went on dialysis which was followed by a transplant. Interestingly, while on dialysis, my husband managed to achieve his goal to rid himself of all treatments for diabetes - fantastic, but a a few decades too late. His mother, on the other hand, was told in her 40s to expect treatment for her diabetes. She had seen the devastation T2D created in her family, so she immediately took charge of her life. She dropped her weight and sugars over three months, stabilized her labs, never took diabetic treatments, and died well into her 80s without suffering kidney issues, etc. Different people, different choices, different outcomes. I sense you're a very motivated individual who is very aware of outcomes. So, as a diabetic, you can indeed stop the progression of kidney disease. Sending you encouragement and much success! You have made great progress thus far. You can do it! Keep us updated!

[Mwachibwago in reply to Darlenia]

What a masterpiece from Darlenia..So encouraging and motivating... Actually,this family has given back my life.. thanks a lot for your time and blue sky advice.Thought I was late to tilt the gravity.