High Creatinine 442 due to Diabetes and Hypertension

Illness description: I have diabetes and high blood pressure for years and now my creatinine is higher, about 442, any advice?
The following is the report of my Renal Function Test
Sodium 127V mmoi/L
Potassiun 5.2 mmol/L
Chloride 99 mmol/L
Creatinine 433 umol/L
Urea 31.6 mmol/L
Uric Acid 676V umol/L
Illness analysis: For your condition, I don’t think it is late for you. So, please don’t worry. There are many patients in our hospital have gotten rid of dialysis, some of them had been keep dialysis for three years. So, please don’t worry.There is high possibility to get ride of dialysis for you
As you know, long term diabetes and hypertension can make kidney damaged. In your case, you have both hypertension and diabetes for a long time. That is why your kidney get damaged and creatinine increases.
For diabetes, people keep high blood glucose . Long term high blood glucose can make superabundant saccharification final products deposite in glomerular endothelial cells and mesangial cell . This process will make extracellular matrix have
pathological changes . Thus, extracellular matrix will produce excessive fiber cells and finally lead to glomerula fibrosis and necrosis. Generally, 10-15 years diabetes can lead to obvious kidney damage.
For hypertension, long term hypertension can make renal artery atherosclerosis. The artery atherosclerosis can lead renal tubular capillary hypoxic-ischemic, which will lead tubular necrosis generally. Generally 5-10 years hypertension can lead to the damage
I believe your have given you diet suggestion.So , I ‘d like to offer you some tip on daily life. Please try your best to keep your blood sugar and blood pressure well, it will reduce the burden of your kidney. And please take shower with warm water(40 degrees Celsius) . And do not have your breath and overexertwhen you are defecating.
From your last letter I can tell your helpless feelings. I am afraid that you now have already started dialysis. I remember your last time creatinine level was 433umol/L. Generally, this level does not require dialysis, but you have Diabetes. I think your doctor also take your diabetic history into consideration, so he suggested starting dialysis earlier.
By the way, dialysis is not a standard to judge renal damage level. What matters is the pathological changes within kidneys and whether certain portaion of these changes can still be reversed. Sclerotic cells are died cells, but in most cases there are still large portion of damaged but still reversible cells. This is also why some end stage patients can still stop dialysis. Hope you will also have a thorough evaluation for your condition to avoid any possible chance for improvement.

Multiple Cysts on Right Kidney, Diabetes, Diets and Treatments

Question: I was told by my doctor that I have multiple cysts in kidney, but the cysts are only found in right kidney and the largest one is 28mm. I also have a cyst on my liver. What makes the condition even more complex is that I became diabetes about 2 years ago. Will I develop kidney failure and how to prevent that?
Answer: your illness condition is not very severe since the cyst is not very large and it is in the early stage, so do not worry. With proper and effective preventions and treatments, the illness conditions can be brought under control and you can just live a normal life.
Since you have diabetes which makes the condition a little bit complex, if you suffer from high blood sugar, you need first to control and maintain blood sugar within safe and stable level. Here are some diet suggestions for diabetic and renal patients.
Your diabetic and renal diet also should consist of non-carbohydrate high-protein foods. You can eat limited amounts of cottage cheese (which has high sodium levels, so sparingly), eggs (or a low-cholesterol substitute), fish, lean cuts of meat, poultry and seafood (without boiling in high-sodium seasonings).
Among meat and high-protein foods you should avoid are cheeses (American, cheddar and Swiss); dried beans (such as kidney, lentil, lima, pinto or soy); high-sodium meats (such as bacon, canned and luncheon meats, hot dogs, organ meats, pepperoni, salami and sausages); nuts and peanut butter.
As for treatments for shrinking these multiple cysts in right kidney, I recommend natural way---herbal medicines. It takes effects through the following ways.
First, Effective ingredients of Herbal medicines promotes the blood inflow to kidneys and enhance the flow speed of blood circulation. By this, the Suction of blood flow will be more powerful. Just imaging blood flow as a tornado, the quicker the pace of ration, the harder things can avoid its suction. Second, ingredients of TCM soften the cyst wall, and inactivate cyst wall’s secretion of liquid. Softened cyst wall paves way for easier cyst liquid filtrating out into blood capillaries, and inactivated cyst wall become incapable of secreting more cyst liquid. So, once these cysts in kidney are shrunk, they hardly have the chance for relapse.