HomeAnswersNephrologyglomerular filtration rateI have diabetes for the past 7 years and am taking Ayurvedic medications. My estimated GFR is 90. Is this normal?

How can kidney health be prevented if the person has diabetes?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At October 22, 2023
Reviewed AtJanuary 5, 2024

Patient's Query

Hello doctor,

In my recent cystatin C test report, I noticed that the result is 0.94 mg/l, and my eGFR based on cystatin C is 90.69 mL/min/1.73m2

I am concerned about whether this indicates mild kidney damage or if it falls within the normal range.

Kindly suggest.

Thank you.

Answered by Dr. Yash Kathuria

Hello,

Welcome to icliniq.com.

I can see that you have received your cystatin C level along with the estimated glomerular filtration rate (eGFR).

Based on current evidence, measuring eGFR using cystatin C is considered highly reliable and accurate. In your case, with an eGFR of 90, your kidney function is completely normal, indicating that your kidneys are functioning very well.

I would like to inquire if you have any other medical conditions or if you are currently taking any medications that might be relevant to your kidney health.

Thank you.

Patient's Query

Hello doctor,

Thank you for your valuable views on my report.

I have been a diabetic patient since 2016 and have been consistently taking Ayurvedic medicine twice a day. During a recent full-body test, I was surprised to find that my creatinine level increased from 0.9 (previous report) to 1.08. To ensure my kidneys are functioning properly, I conducted a Cystatin C test.

My concern is that if my creatinine level continues to increase, it might harm my kidneys in the future. I would greatly appreciate your help and suggestions on how I can reduce or control my creatinine level.

Should I consider taking specific medication, or are there other ways to manage my creatinine level effectively?

Thank you

Answered by Dr. Yash Kathuria

Hello,

Welcome back to icliniq.com.

You have raised an important question. The key to preventing kidney damage due to diabetes is to maintain good blood sugar control, keeping your HbA1c below 7%. I'm glad to see that your urine does not show any protein loss, which is positive news.

Diet and exercise play crucial roles in managing diabetes. I would suggest you do the following.

  1. Regular exercise, such as brisk walking for at least 30 minutes daily, is beneficial.
  2. Focus on incorporating more fruits, vegetables, and fiber into your diet.
  3. Consider using multigrain flour instead of plain wheat.
  4. Reducing sugary foods and avoiding bread, buns, and rusks can also help.
  5. Including green vegetables like fenugreek and flax seeds in your diet can be advantageous for managing diabetes.
  6. If your BMI is above 30, aiming for a 5% weight loss within three months would be a reasonable target.

By achieving and maintaining good blood sugar control through lifestyle changes, you can prevent kidney dysfunction associated with diabetes. I would suggest you monitor your HbA1c after three months of adopting these lifestyle changes. If your HbA1c remains high, it may be necessary to consider taking allopathic medications to further reduce your sugar levels.

Hope this helps.

Kindly revert back in case of any more queries.

Patient's Query

Hello doctor,

Thank you for your reply.

Previously, I used to include chicken in my diet every week. But, considering the findings in my report, I now plan to reduce the frequency of chicken consumption to once every 15 days. Instead, I will include fish in my diet every week. Is this good?

Kindly suggest.

Thank you.

Answered by Dr. Yash Kathuria

Hello,

Welcome back to icliniq.com.

Scientific evidence has shown that a non-vegetarian diet can be inflammatory and may negatively impact kidney function. Consuming non-vegetarian foods, such as chicken, can increase the acidic load in the blood, leading to further deterioration of kidney function. Therefore, it is advisable to limit the intake of chicken to occasional consumption. If compared, fish is a better option than chicken.

Instead, I would suggest you consider substituting chicken and other non-vegetarian sources of protein with plant-based protein options. Plant protein is beneficial for both heart and kidney health, contributing to overall well-being.

Hope this helps you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Yash Kathuria
Dr. Yash Kathuria

Family Physician

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