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Diabetic, taking insulin, BP - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Doctor,
It is forunate to interact with you to rectify my health issues. I have been taking treatment for the last 25 years for diabetes. I have been under insulin since 1997. I am 50 years old. Recently I underwent kidney transplant due to uncontrolled diabetes. I have hypertension also. I had a CAD within two days after kidney transplant. now it is asymtomatic. I have been taking following medicines since 10th Dec 2009 (Kidney transplant).
Neoral 150 mg - 150 mg
cellcept 1000 mg - 500 mg
prednisolone 5 mg
bactrim ( thrice a week)
atorva 20 mg
betaloc 50mg - 50mg
clopilet 75mg
Ecosprin 150 mg
insulin actrapid 16 14 20
insulin insulatord 20 - 22

my creatinine is 1.0 as on 15-07-2010
urea 34
HEAMOGLOBIN 17.9 (slightly high)

7 MONTHS IS LAPSED after kidney transplant.

please advise me on diet,transplant drugs, water, salt
fruits and vegetables, sleep, meditation, work and stress.
Also type of cosmetics to be used to prevent skin cancer
what i have to do control heamoglobin as it seem going on increasing?
How much wated i have to take daily?

User :   Hi
User :   Let me read it
User :   hi doctor
Doctor :   Hi
User :   hi
User :   have you gone through
User :   ???
Doctor :   May i ask a few details regarding you before answering your questions?
User :   o yes
Doctor :   May I know your latest reports or status of both kidney and heart conditions?
Doctor :   I mean do you have your latest creatinine and echo reports?
User :   my creatinine is 1.0 as on 15/7/10 ; urea is 34; and echo asymtomatic
Doctor :   May I know the value of ejection fraction in those reports?
User :   kidney function is normal and ECG is also normal
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   As mentioned earlier, diet and water consumptions would have to be modified every time depending on the renal functions and the cardiac functions (that is established by the ejection fraction)
Doctor :   In general, you would need restriction on the fluid you take,
Doctor :   Fluid intake should not be more than a litre or less in severe renal dysfunction status.
Doctor :   2. To avoid high protein diets such as wheat preparations, soyabeans, meat, milk and milk products, nuts, eggs and so on.
User :   doctor advised that post transplant are supposed take at least more than 3 litres of water
Doctor :   2. Restrict salt in your diet, salt consumption should be less than 5 gms per day
User :   ok
Doctor :   Since I am unaware of the status your kidney pre and post transplant, I cannot be specific with your diet.
Doctor :   my advice are in general.
Doctor :   The doctor who is treating you will be able to give you more specific changes in these.
User :   can you connect to neprologist
User :   please advise kidney friently fruits and vegetable in general
Doctor :   If you would want to discuss your issues with a neprologist, I would suggest you to use the option of second opinion from a superspecialist.
User :   how much time i need sleep
Doctor :   There are no restriction is sleeping habits.
Doctor :   You can sleep as normally.
Doctor :   Atleast 6 to 8 hours in a day is good sleep for body mechanism/
User :   what about fruits and vegetables
User :   thank you very much for your valuable guidance regarding kidney related issues

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