What dietary restrictions should a 73-year-old male with chronic heart disease and diabetes follow?

Hi,

Welcome to icliniq.com.

I understand your concern.

Please help me with some details, does he have any difficulty passing urine? Like straining to pass urine, weak flow, feeling of incomplete bladder emptying? Does he have to wake up multiple times at night to pass urine? Has an ultrasound been done for him in the recent past? From the values you have mentioned above, it is evident that diabetes is not optimally controlled. HbA1C (glycated hemoglobin) should be less than six with good control. His creatinine and urea increase signifies that he has some renal damage which may be age-related along with contributing effects from diabetes and hypertension. I suggest, he should be on a low salt, low sugar diet, avoiding things like rice, potato, banana, chocolate, and nuts. He can have the mentioned diet but in very moderate amounts. As a renal protective agent, you can start him on tablet Nephrosave (Taurine and Acetylcysteine), one tablet once a day (maybe available as a different brand in your location). He should also see a nephrologist for a consultation.

I hope you find it helpful.

Kind regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

First, I would suggest you get an ultrasound KUB (kidney, ureter, and bladder) and a uroflowmetry test done for him as soon as possible. This will rule out any bladder outlet obstruction and give a baseline idea about his kidneys. As far as a midnight snack is concerned, low sugared biscuits are pretty good for diabetes since they are low in sugar. He could also try papaya, watermelon, half an apple, and half a banana.

I hope you find it helpful.

Kind regards.

Hi,

Welcome back to icliniq.com.

The sugar level seems to be fine. As far as water intake is concerned, if he has a heart condition and his cardiologist has advised water restriction to 1 liter per day should be enough. I would suggest you check with your cardiologist as well.

Thank you.