I’m 45 with Type 1 since I was eleven. I’ve been complication-free thus far, but just received lab results showing a low creatinine clearance (67). I just started taking Altace (2.5 mg. day). Anyone else out there trying to ward off kidney complications as a long-term Type 1? I’m wondering if a restricted protein diet might help? Also wondering if I should insist on seeing a nephrologist at this point. My endo specializes in kids and my primary care physician is swamped.
I’m feeling like I’m not getting much information on this other than a phoned in script. At least get an initial consult with a nephrologist. If you only need the one visit, at least you’ll know all the basis are covered. And have a relationship with a nephro for the future if needed. A while after I was diagnosed, and had been exercising regularly but with increasing vigor, I decided to have a checkup & treadmill stress test with a cardiologist, just to be on the safe side about my increasingly vigorous exercise program. I didn’t have any symptoms or problems, but given my (middle-)age and diabetes it seemed sensible.
It seems sensible to get your kidney situation checked out sooner rather than later! I use him because there’s a shortage of board-certified endocrinologists in my Chicago suburb. I saw a much better one (for long-term adult type 1s which makes it a rather narrow aperture of opinion) on the North side, but it was an absurd commute, so I use the pediatric specialist. I am his only patient not on a pump.
The controversial and popular Atkins diet works for reasons that Dr Atkins may not have fully understood, the BBC 2 programme Horizon has discovered. Through a series of scientific experiments the programme shows that although the diet allows people all the fat and protein they want, they actually eat as few calories as people on low fat diets. And the reason for this, according to recent research is because the quantity of protein the regime encourages, acts like an appetite suppressant.
It’s been a while. For those who don’t remember, I used to lurk and sometimes post here, until February when I found out I am pregnant and was told “so long” by Weight Watchers. Well, I am happy to report that my anxieties about gaining weight have proven unfounded. I am on week 18 (that’s beginning the fifth month, for those of you who haven’t been through the pregnancy lingo craziness), and have gained only 10 pounds, without watching what I ate, except for healthy VS bad choices (oh, and I do have my Big Mac now and then, as if it was a Flex Points treat).
My doctor put me 20 mg Paxil for persistent anxiety which worsened a growing insomnia problem. When I couldn’t sleep (I had early morning awakenings after 4 hours of sleep), he put me on 1 to 2 mg of Ativan (Lorazipam) as a sleeping pill. What he has not made clear is whether or not the insomnia will end after I’m on the Paxil for at least 4 to 6 weeks. I’m at the end of week three. The insomnia is, in fact, a major cause of anxiety in my life. At the same time, I am concerned about becoming dependent on the Ativan/benzo.



