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Have kidney infection due to diabetes. Can dialysis be postponed by controlling sugar level?

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My husband had a kidney infection due to diabetes 21/2 years ago. His gfr is 30 now and has been since the infection

His primary sent him to a kidney dr. who said she doesn't see any diet restrictions except to keep his diabetes in check.

Is it possible for him to stay at 30 gfr and not need dialysis for some time if he controls his sugar?
Posted Wed, 8 May 2013 in Kidney Conditions
Answered by Dr. Sree Bhushan Raju 6 hours later

Diabetics are likely to have a progressive kidney disease once the GFR starts declining. As his creatinine is already at 30 ml/min, he is likely to have gradual decrease in GFR during next few years.

Diabetics require utmost care to control blood sugar and BP. Despite a good control, they are still likely to have a fall in GFR.

Urine infections are acute factors, which can suddenly decrease the GFRR.

Protein especially animal protein, non-veg, should be restricted as nonveg protein makes a further decline in GFR.

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Follow-up: Have kidney infection due to diabetes. Can dialysis be postponed by controlling sugar level? 14 hours later
Thank-you - his kidney doctor said about 80 grams of protein is fine?
Answered by Dr. Sree Bhushan Raju 7 hours later

Dietary protein restriction is usually warranted to a limited quantity in a small group of patients. Usually 0.6 -0.8 gm/kg per day is advised to all the patients with Chronic Kidney Disease. A severe protein restriction of less than 0.5 gm/kg/day is usually accompanied by a keto analogue group of drugs. But actually the amount of benefit that this dietary restriction and keto groups is limited and that too over a period of several years of followup. More over the protein restriction can lead to loss of muscle mass and increases the tendency for infections. Hence a moderate restriction can be advised and vegetarian protein is advised rather than animal protein.

You can check his body weight and see that the sugars and BP are under control. Monitor his real functions regularly. See that he loses some body weight which is predominantly fat. Overweight is not good and obese people are likely to have rapid deterioration compared the normal weight people.

Hope this answers your query. Let me know if you need clarifications.

Thank you
Above answer was peer-reviewed by
Follow-up: Have kidney infection due to diabetes. Can dialysis be postponed by controlling sugar level? 13 hours later
0.6 to o.8 gm per day? do you mean 60 to 80 grams?

what is vegetarian protein?

Answered by Dr. Sree Bhushan Raju 35 hours later

No, the dosage is calculated based on the body weight. Usual dosage is 0.6 to 0.8 grams per kilogram of body weight per day. The total dosage per day needs to be calculated accordingly, based on the total body weight.

Vegetarian protein is pulses and cereals etc. He also can take boiled eggs but animal protein like chicken etc can be avoided and can be taken in moderate quantities...
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