There are 3 key steps to controlling glucose levels for pre diabetes:
1) EXERCISE- Walking is fine but Nordic Walking is Great. Exercise also
lowers Glucose levels , lowers Cholesterol and lowers Blood Pressure. Google
it.Exercise is Non-Negotiable !!!Thats why it is Number 1 on the list.
2) Knowledge- http://www.kidneyservicechina.com/ This is a great
site for info
3)Diet- A low carb diet is in order. I can't count carbs so I use Mendosa's
Glycemic Index Diet. Great for the whole family.
http://www.mendosa.com/gilists.htm
Early chronic renal insufficiency (Stages 1 to 2)
Physical symptoms. Usually few or no physical symptoms that you can feel
(other than those you may experience if you have heavy proteinuria).
Blood work. Blood work results will show abnormalities - mainly a slightly
elevated serum creatinine. Note that there is often a time lag between
elevations of serum creatinine, and some progression of the IgAN. By the time
serum creatinine is elevated, the person may already have lost 50% of kidney
function.
Urinalysis. Urine will show abnormalities. Urine can be checked by dipstick
in the doctor's office (as an initial check), and followed up with a more
complete urinalysis. The main urine abnormality that will suggest a kidney
disease is the presence of protein and/or blood. Either will usually trigger
further investigation. However, blood and/or protein in the urine doesn't say
anything about actual kidney function.
Treatment. Treatment may involve some mild dietary changes (a lower protein
diet may in some cases be recommended), and a blood pressure medication may be
prescribed (usually of the ACE inhibitor class, the angiotensin II receptor
class, or both, even if blood pressure is not really elevated much).
Blood pressure. Some people start having high blood pressure even in early
chronic renal failure. IgAN is one kidney disease that can do this.
Anemia. Anemia may rarely occur at this stage. In this case, it is most often
caused by having heavy proteinuria rather than actual chronic renal
insufficiency.
Treatment
Diet. Dietary changes may be ordered (renal diet: low protein, low potassium,
low phosphorus, low sodium, higher calorie)
Medication
High blood pressure medications. It's common to need more than one at this
stage, and often 3 or more.
Other drugs/supplements. May be prescribed if needed, such as vitamin D
analog (calcitriol is a common one), renal vitamins (not a regular
multi-vitamin, as these contain too much vitamin A for the typical advanced
renal insufficiency patient). Drugs for controlling heavy proteinuria if
necessary (note that heavier proteinuria does not automatically follow with more
advanced chronic renal insufficiency).
Phosphorus binder. You may be asked to begin taking a calcium supplement with
meals as a phosphorus binder (or a medication may be prescribed instead of or in
addition to calcium).
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