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    elaine0616 posted:
    Hello, I am 60 years old, I have had diabetes since 1986 and high blood pressure since 2000. I was recently diagnoised with stage 3 kidney disease. I don't know where to begin, I have been reading so much in regard to diet and meds and such. But where do I start?????
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    john-skpt responded:
    Probably the best place to begin is with a nephrologist; even if you don't need to see this specialist regulary right now, it's a great idea to get a baseline evaluation so that the progression of the kidneys can be monitored and minimized.

    My experience has been that a lot of general practitioners, even endocrinologists, etc, tend to make referrals to a nephrologist quite late in the course of things. And there are a bunch of clinical studies that correlate early nephrologist referral to better long term outcomes.

    As for diet, there aren't many specific changes that make sense for every patient; diet will need to be evaluated on the basis of your blood test values, and it will need to be tweaked periodically as time goes by. No two patients are exactly alike, so no single diet works for everybody. The possible exception to that statement is that heart-healthy is kidney-friendly: chronic renal disease is essentially vascular in origin, so keeping arteries and the heart in shape are good ideas overall.

    One other generality that almost always applies is to knock off over the counter NSAID pain relievers; naproxen, ibuprofen, etc are nephrotoxic. An occasional tylenol probably won't hurt a lot, but taking ibuprofen several times a day, every day is just asking for trouble.
     
    avatar
    elaine0616 replied to john-skpt's response:
    Thanks for the input. My PCP has already sent me to a nephrologist, he's the one that diagnoised me. I guess I will learn exactly what steps I need to take in the coming weeks as I have several tests and doctor appointments to keep.
    nannnieof26


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