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.