I am a patient of hypertension and diabetes 2. I am also taking meds for my anxiety disorder since 2005. Hence I am worried about my kidney n liver. How can I take care of them.

Question

Mr. Lybrate-user, the drugs being taken are not having any significant liver toxicity even on long term usage. Metformin is in use as the first drug in the treatment of type 2 diabetes since almost 40 years, with no such reports of liver toxicity. Similarly both clonazepam and escitalopram are also very safe on liver. Same is the case with losartan and amlodepine. So do not worry about a non existent problem. Take the drugs as advised by your doctors. Thanks for the question.

Prabhakar Laxman Jathar · Accepted Answer

Mr. Lybrate-user, the drugs being taken are not having any significant liver toxicity even on long term usage. Metformin is in use as the first drug in the treatment of type 2 diabetes since almost 40 years, with no such reports of liver toxicity. Similarly both clonazepam and escitalopram are also very safe on liver. Same is the case with losartan and amlodepine. So do not worry about a non existent problem. Take the drugs as advised by your doctors. Thanks for the question.

Prabir Brahmachari · Answer

Before anything else. I expect you to focus more on your excess body wright. Your bmi is 28.7. And you are obese. Your ideal weight should be 71.5 kgs. Tgat is you have 35% extra fat in your body. The key lies there. His I shall explain.
1)'obesity cause a state called insulin resistance. This mske diabetes worse abd blood sugar remains high. Bringing down wt will correct insulin resistance.
2) extra body weight makes blood pressure control difficult. If you can achieve normal body weight your blood pressure should be manageable with lesser drugs and within acceptable level (which is below 130/80 in your case). Diabetes and hypertension both are known to damage vital organs like hear. Kidneys. Eyes. Etc. By controlling by our body weight you will see all these threats will be miniminzed. In a diabetic liver accumulates more fat (fatty liver).
Hence my suggestion to you is to consult a dietician and see that you follow a strict weight reducing dietary regime. Side by side you should undertake daily physical exercise at least for an hour. Brisk walk is a very good but less strenuous exercise.

Jennifer Dhuri · Answer

Hye,
thanks for the query.
For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history.
Though you can follow some guidelines -
the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels.
You have to try and manage a balanced carb intake.
Have small frequent meals.
Do not fast for long hours. You have to eat 3 main and 3 mid meals.
Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet.
Avoid a very heavy meal at one time.
Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar.
Avoid junk foods.
Exercise and stay active. Avoid exercise if sugar levels are above 250mg/dl.
Do not attempt to try out too many remedies as you could go into hypoglycaemia.
Sleep well. It's all a matter of discipline.

Smita . · Answer

Hello Mr. Lybrate-user, first of all I would like to tell you don't be disappointed, there are so many people who are living with diabetes life long but it is under controlled with the help of medicine & diet planning. Had you done your hba1c? it should be in the range of 6-6.5% for good control of diabetes. There are some dietary changes that will help you.
Take small & frequent meal.
Take more & more green leafy vegetables.
Avoid simple sugar & simple carbs in your diet. Avoid table salt in meal.
Do not take chips, papad, pickel or any other salty products.
Avoid oily/ fried / outside food.
Take whole wheat products or fiber rich diet like daliya/ oats/ multigrain flour etc. Do regular walk/ exercise/ swimming/ jogging whatever you like atleast for 30 minutes. Take a consultation with the dietician.
One most important thing regarding your kidney & liver, discuss with your treating doctor for lft (liver function test) & kft (kidney function test) test. I think you should go through complete annual/ half yearly health check-up.