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Suggest Healthy Diet Plan For Diabetic Neuropathy And Hypertension

Posted on Sat, 1 Aug 2015

Question: I have type 2diabetes with hypothyroidism and eczema (feet and hands). I take metformin, thyroxine and use emollients. I have had cardiac ablation for AF and take Warfarin lifelong. I am 60 years old. I have recently been diagnosed with nephropathy having had microalbumin in my urine and borderline hypertension. I am overweight. Is there anything diet wise I can do to help myself in this situation? My doctor says I might have to have Ramipril, but just watching blood pressure at present.

Answered by Dr. Chobufo Ditah (11 minutes later)

Brief Answer:
Ramipril should not wait any longer!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this diabetic nephropathy that you have been diagnosed of. Please, Ramipril should not wait. This drug has been shown to slow the onset and progression of diabetic nephropathy and keeping it any longer is not good practice. Ask your doctor about this and let him check the guidelines.

Diet wise, eating less calories is the general rule. However, regular exercise, fruits, vegetables and fibers are good measures to act. You need a minimum of 150minutes of exercise weekly and this will be of great help in controlling your diabetes, preventing hypertension and burring excess fats and finally helping with the body weight.

I hope this helps. I wish you well. Thanks for using our services and do feel free to ask for more information and clarifications if need be.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chobufo Ditah (15 minutes later)

Thank you. I'm aware I need to lose weight, not found this easy at any time during life. My diabetic control is termed 'excellent'. It was a shock to get this news, as I feel quite well otherwise, apart from the inconvenient eczema on my feet. Should I be reducing protein in my diet or just concentrate on the calorie reduction. I have relatively recently been diagnosed with low thyroid but all seems well there now I am on replacement therapy. Other drugs I take are: Atenolol, Fluoxetine, Solifenacin and Bezafibrate (I am not able to tolerate statins).

Answered by Dr. Chobufo Ditah (7 hours later)

Brief Answer:
A low protein diet is recommended.

Detailed Answer:
Hi,

A low protein diet is recommended in dealing with kidney problems. I know losing weight is never easy. As long as you do not put on extra weight, I know you are doing something to keep it under check.

I have reviewed your drugs. None is concerning for further kidney damage. I will recommend your doctor adds ramipril to protect the kidneys further. Otherwise, I wish you well.

Best wishes.

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar