Diet, Diabetes & Hypertension
Ask Dr Francisco Salcido-Ochoa about:
- Diet & nutrition
- Hypertension and how to lower blood pressure
- Cholesterol levels and weight loss
- Hemodialysis/Peritoneal dialysis
- Kidney disease
- Kidney dialysis
Dr Francisco is accredited as a Specialist Nephrologist (with admitting privileges) at multiple hospitals in Singapore. He also has his own private practice, "Francisco Kidney & Medical Centre". His main clinical interests are the prevention, diagnosis, and treatment of several kidney disorders.
Diabetes and hypertension (high blood pressure) are important causes of kidney problems. Overweight and obesity are also linked. In addition, patients with kidney problems due to other causes are more susceptible to develop metabolic problems like diabetes, high cholesterol, gout and hypertension.
Diet, exercise, habit modifications and loss of weight are central in the management of these conditions and kidney problems, and the prevention of disease occurrence or progression.
Hi, Here's the summarised answer to your concerns: First and foremost, diabetes is a common cause of protein leaking in the urine, hence, it's important to rule this out as a cause. Regarding the exact treatment of protein leaking in the urine, this will depend mainly on the cause and the severity of protein leakage. As there are many possibilities and more permutations, you should seek out a formal consultation with your doctor or nephrologist.
Hi, I am sure anyone would be worried after your experience. First of all, it is possible it was already in the toilet bowl, especially if: 1. you could see it with your naked eye and 2. you have no urinary symptoms However, it is also possible that the organism could have been "dragged" by the urine from the skin, vagina or anus during the urination process in women. This is because the urine stream can "washout" the genitals before going into the toilet bowl.
Hi, Please let me define first what chronic kidney disease and renal failure are. Chronic kidney disease is the consequence of many different disorders and diseases in the kidneys. Chronic kidney disease results in progressive damage, which eventually impairs all the functions of the kidneys. On the other hand, renal failure is when your kidneys completely stop working as t and this is typically irreversible. When your kidney function drops below 10%, patients can become very ill, the situation can be life-threatening, and dialysis or a transplant needs to be performed.
Hi, Malnutrition in patients with chronic kidney disease Patients with chronic kidney disease can suffer from malnutrition, especially when the disease progresses to more advanced stages.
Hi, I am sorry to hear that your grandmother has diabetes and she is at risk of developing diabetic kidney disease (aka diabetic nephropathy); which means diabetes affecting the kidney, damaging it and potentially leading to kidney failure. In fact, diabetes is the most common cause of total kidney failure worldwide and in Singapore. Around 40% of patients with diabetes develop kidney problems. Many of them can progress to total kidney failure, needing dialysis or kidney transplant to remain alive.
Hi, Kidney transplantation can prolong and improve the lives of patients with kidney failure, in comparison to their outlook if remaining on dialysis forever. Kidney transplantation can also give patients a better quality of life by allowing them to regain their freedom to do many of the things that they used to do or they used to enjoy before developing kidney failure and needing dialysis.
Hi, Thank you for your question. Chronic kidney disease includes different types of diseases of the kidneys, like diabetes, high blood pressure, different types of inflammation of the kidneys, allergies, urine flow problems, rare diseases, recurrent infections, etc. So, the treatment will be divided in a) specific treatment to control the original disease, b) to treat other accompanying conditions to minimize further damage to the kidneys, and c) other general strategies to try to prolong the life of the kidneys.
Hi, Thank you for your question. Age is one of the factors determining the type of dialysis, but more important than age, in my experience, it is the fitness, fragility, frailty, nutrition and mobility of the patient what matters the most; either due to age or the impact that accompanying medical conditions have like heart problems, arthritis, amputations, lung disease, blindness. I have met patients over 80 years all which are fitter than even 40 or 50 years old ones, because disease and lifestyle takes a huge toll on people’s health, lifespan and quality of life.
Hi, Thank you for your question. Indeed, reaching total kidney failure and needing dialysis is a big event with a significant impact in your life, requiring in occasions huge modifications in your lifestyle. It can get in the middle of your work life (especially if you have a corporate or full-time job, because indeed each session takes half of your day); your social life; your family life; and your personal life, which can affect your mood and overall wellbeing.
Hi, Progressive and severe injury to the kidneys can cause permanent and irreparable damage to the kidneys, leading to total kidney failure. If total kidney failure is confirmed by your doctor, dialysis will be needed for life. Alternatively, a kidney transplant is another option in these circumstances. And dialysis will be for life because, unfortunately, permanent and severe damage cannot be repaired and the kidney function will not recover. We use different methods to assess the degree of kidney dysfunction and to confirm if the kidney function is low.