Dear Pharmacist, I've had diabetes for 12 years and now I have
kidney disease. My doctor just prescribed lisinopril. I'm concerned
that there is more I should be doing. What else should I consider? -
- L.V., Los Angeles
The kidneys continuously filter your blood to strain out waste
products. Without functional kidneys we would die within minutes.
Here are some ways protect your precious kidneys:
1. Bring blood sugar down. A reduction of "hemoglobin A1c" from
7% to 6.4 % reduces your risk of kidney disease, eye damage and
nerve pain by up to 25%.
2. Eat a low-fat, low-protein diet rich in fresh, organic fruits
and vegetables along with healthy nuts and seeds.
3. Avoid regular table salt and salt substitutes because they may
cause water retention or ruin your mineral balance. Sea salt is
healthier.
4. Medications such as ACE inhibitors (lisinopril, enalapril or
Altace) can protect the kidneys, lower blood pressure, and reduce
protein spillage. Side effects include dry cough, headache, elevated
potassium levels and weird changes in taste. Newer medications such
as Diovan, Cozaar, Avapro or Atacand can achieve similar benefits
with fewer side effects.
5. L-carnitine is an amino acid found in all your cells.
Supplements may improve symptoms of heart failure or angina which
can occur in people with kidney failure. When your kidneys tire out,
supplemental forms may become useful. Dosage varies and is based on
your individual kidney function, so ask your doctor.
6. Horsetail or Equisetum arvense: This 'diuretic' herb helps
your kidneys filter the blood while providing silica to help
strengthen hair, bones and organ tissue. You can drink tea or take
supplements but ask your doctor first because diuretics usually
enhance the side effects of medications.
7. The sun: it allows you to make vitamin D, which helps
diabetics improve blood sugar control, wound healing and kidney
function.
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