Lybrate.com has a number of highly qualified Nephrologists in India. You will find Nephrologists with more than 38 years of experience on Lybrate.com. You can find Nephrologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Sunil Prakash
Submit a review for Dr. Sunil PrakashYour feedback matters!
Patient Review Highlights
What is diabetic kidney disease?
Diabetic nephropathy, also known as Diabetic Kidney Disease is a type of complication that occurs in people who are a victim to diabetes. That does not mean every individual with diabetes will have this disease, but if the necessary precautions are not taken, then it can lead to this disease. Diabetic Kidney Disease is characterised by excessive amounts of albumin as well as protein in the urine. In diabetics, certain chemicals in the kidneys shoot up and hamper the function of the glomeruli.
The glomeruli are the main units of kidneys that are responsible for the filtration. Diabetic kidney diseases result in the leakage of essential products like albumin and protein into the urine. When this happens, the protein levels in the blood reduce. If proper precautions are not taken and treatment is not done, then the disease may worsen and the condition will progress to ‘end-stage renal failure’.
How to avoid diabetic kidney disease?
The best way to treat diabetic kidney disease is to prevent it in the first place. Foremost, you should prevent the risk factors in order to avoid coming down with Diabetic Nephropathy. The risk factors include high blood pressure, high levels of blood sugar, dyslipidemia and smoking. Avoid excess of following 5S Sugar, Salt, smoke, stress and sedentary life.
Intensive control over blood sugar
According to certain clinical trials, maintaining and keeping a good control over your blood sugar levels drastically reduces the risk of developing diabetic kidney disease. If you are diabetic, make it a point to get your regular checkups and maintain your diet to prevent the levels of sugar in your blood to shoot up. Other things that you must keep in your mind are to take proper medication that has been prescribed to you. You must adhere to your treatment plans and follow the guidelines that have been given to you.
Intensive control over blood pressure
Hypertension is common in patients who are diabetic. Hypertension alone can result in end-organ damage due to excess pressure build up in the blood vessels. Hypertension associated with hyperglycaemia (diabetes) is a ticking bomb for your kidneys. Hence it is advised to keep your blood pressure under control as well to prevent diabetic kidney disease.
Diabetic nephropathy is not something that happens to every individual with diabetes, so if you follow the above simple tips, the chances of the same reduce, and thus the quality of your life goes up. Many diabetics will get kidney failure due to causes other than diabetes and that may be treatable. Hence early consult with nephrologist is a must.
I am having E coli urine infection. There is testicular pain and Balanitis as well. I want to know whether the Balanitis and testicular pain are due to urinary infection and can be treated with antibiotics? Or there can be other reasons for the above problems?
I'm a 48 year male suffering from kidney stones. I consulted a doctor and took a course for a month and now I still have stones can you suggest medication and further action required for total cure.
A dialysis diet is a special diet that is customized for patients who are or will be starting dialysis within a short period of time. Such a diet is prepared to reduce the waste and fluid levels that keep on accumulating between the dialysis sessions so that the patient remains healthy for the process to be carried out seamlessly.
What can you eat?
Eat foods which are rich in high-quality proteins (poultry, fish, lean meat and egg whites).
What can’t you eat?
Eat less of foods which are rich in sodium and phosphorus.
Foods high in Sodium
1. Use minimum salt in preparing the dishes; this helps control BP and probable weight gain that might happen between the dialysis sessions.
2. Make use of spices, herbs and other salt-flavored enhancers.
1. Patients on dialysis need to include more of high-quality protein foods in their diet. This will help regulate blood protein levels. Eat about 10 ounces of foods rich in high-quality protein every day.
2. 1 egg, ¼ cup of ricotta cheese, ¼ cup of tuna.
- The potassium content of vegetables can be alarming for a patient on dialysis. Eat 3 servings of vegetables that are low in potassium every day. These include broccoli, cauliflower, cabbage, carrots, garlic, cucumber, eggplant, celery, radishes, etc.
- Avoid vegetables such as beets, potatoes (in any form- wafers or wedges), winter squash, cooked spinach, pumpkin, asparagus and avocado.
- Although seeds, nuts, peanut butter, lentils, dried beans and peas are rich in protein, they are generally struck off from the diet plan because of their high phosphorus and potassium content.
- You can have moderate amounts of grains, bread and cereals.
- Try and not have brown bread and other whole grains as they are loaded with phosphorus.
- Usually, 5-10 servings of these are considered sufficient for patients on dialysis.
- Also, limit intake of milk and other dairy products.
- ½ cup yoghurt or ½ a cup of milk is considered safe. Also, remember that all varieties of milk- skim, whole and low fat, have the same amount of phosphorus.
- All fruits contain some amount of potassium. However, some of them contain more potassium than the others. Limit your intake of fruit juices.
- Avoid or limit fruits like:
- Orange juice and oranges
- Prune juice and prunes
- Dried fruit and raisins
In case you have a concern or query you can always consult an expert & get answers to your questions!