What tests or changes help diabetes and kidney issues?

Question

Hello doctor,

I was diagnosed with type 2 diabetes three years ago, and my recent HbA1c (glycated hemoglobin) test result was 7.5 percent. My fasting blood sugar levels are usually around 140 mg/dL. I also have a history of chronic kidney disease and have been experiencing increasing fatigue and swelling in my legs. I am currently taking a combination of oral medications, including Glipizide and Pioglitazone. My diet is relatively healthy, but I struggle with portion control and often skip meals due to irregular work hours. I try to stay active by walking daily, but my energy levels have been low lately. Could you please recommend any additional tests or adjustments to my treatment plan that could help manage my diabetes and improve my overall health?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

I suggest you undergo the following tests:

Renal function test (RFT).
Urinalysis (UA).
Estimated glomerular filtration rate (eGFR).
Complete blood count (CBC).
Vitamin B12 level.
Vitamin D level.

The purpose of these tests is to assess the progression of chronic kidney disease (CKD) and ensure that your current medications are safe for your kidneys. If any issues arise from these test results, we can consider adjusting your diabetes medications to ones that are more kidney-friendly. Additionally, check your blood pressure and share the levels with us.

To address fatigue and swelling in your legs, I suggest you take diuretic medications along with Vitamins. I also suggest you follow the instructions:

Diet: It is important to manage your intake of protein, sodium, and potassium. A dietitian can help create a meal plan that supports both kidney health and blood sugar control.
Portion control and meal timing: Consistent meal timing and portion control are crucial. Avoid skipping meals to prevent blood sugar fluctuations.
Physical activity: While walking is beneficial, if fatigue is limiting your activity, consider starting low-impact exercises such as swimming or cycling. These can be less taxing but still effective.
Addressing fatigue: To improve your quality of life, it is important to address the root cause of your fatigue, whether it is related to anemia, poor blood sugar control, or kidney function. Ensure adequate rest, manage stress, and consider adjusting your work schedule to better accommodate meal and exercise routines.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.