My husband was a Kidney transplant patient?

Question

I only donate him kidney for past 5 years, now for him sugar came but all kidney function, and kidney results are normal, but sugar only now came, by antibiotic tablet, it will reduced automatically , pls help me

Answer 1

From now I gather, you stated that you donated one of your kidneys to to your husband., right? This has been 5 yrs ago.
Now, you stated that his blood sugar is elevated and you want to know if this is caused by the antibiotic or if the antibiotic will reduce it automatically, right?


No, the answer is No. He must have diabetes. the situation here is like the proverbial "which comes first, the chicken or the egg.?" He must have been a diabetic pt, that's why his kidneys failed.

This condition is called Diabetic nephropathy or Kimmelstiel-Wilson disease; Diabetic glomerulosclerosis; or Diabetic kidney disease


Definition



Diabetic nephropathy is a complication of diabetes. If you have this condition, your kidney loses its ability to function properly. The condition is characterized by high ( albumin) protein levels in the urine.


Diabetic nephropathy is a complication of diabetes that is caused by uncontrolled high blood sugar. High blood sugar damages the filtering system of the kidneys. Over time, the damage can lead to kidney failure. Diabetic nephropathy is the most common cause of kidney failure in the United States.


Preventing or slowing kidney damage is most important in managing this disease. Keeping blood sugar and blood pressure as near to normal as possible and eating a healthy diet can reduce your risk for developing this condition or progressing to kidney failure

What causes diabetic nephropathy?
Persistently high blood sugar levels caused by diabetes can, over time, damage the blood vessels in your kidneys, resulting in diabetic nephropathy.


Incidence and risk factors:

Diabetic nephropathy generally goes along with other diabetes complications including hypertension, retinopathy, and blood vessel changes, although these may not be obvious during the early stages of nephropathy. Nephropathy may be present for many years before high protein in the urine or chronic kidney failure develop


I hope this answers your question adequately. Otherwise put in addtl details to clarify the question.

Key principles for a diabetic diet:

-Achieve weight control through reducing calories
-Reduce intake of dietary fat (specifically saturated fat)
-Individualize guidelines for carbohydrates based on the type of diabetes you have and the control of your blood sugar levels

With type 1 diabetes, studies show that total carbohydrate has the most effect on the amount of insulin needed and the maintenance of blood sugar control. There is a delicate balance of carbohydrate intake, insulin, and physical activity that is necessary for the best blood levels of a sugar called glucose. If these components are not in balance, there can be wide fluctuations -- from too-high to too-low -- in blood glucose levels. For those with type 1 diabetes on a fixed dose of insulin, the carbohydrate content of meals and snacks should be consistent from day to day

With type 2 diabetes, the main focus is on weight control, because 80% - 90% of people with this disease are overweight. A meal plan, with reduced calories, even distribution of carbohydrates, and replacement of some carbohydrate with healthier monounsaturated fats helps improve blood glucose levels

Examples of foods high in monounsaturated fat include peanut or almond butter, almonds, walnuts, and other nuts. These can be substituted for carbohydrates, but portions should be small because these foods are high in calories

In many cases, moderate weight loss and increased physical activity can control type 2 diabetes. Some people will need to take oral medications or insulin in addition to lifestyle changes


Recommendations

Reduce the amount of dietary fat. These are the fats that raise LDL ("bad") cholesterol. Dietary cholesterol should be less than 200 - 300 mg per day. Additionally, intake of trans-unsaturated fats should be minimized. These are better known as partially hydrogenated oils. Reducing fat intake may help contribute to modest weight loss.


Keep protein intake in the range of 15 - 20% of total calories. Choices low in fat are recommended such as nonfat dairy products, legumes, skinless poultry, fish and lean meats. To keep the cholesterol content in range, approximately 6 ounces of protein per day is recommended. A portion of poultry, fish, or lean meat is about the size of 2 decks of cards.


Carbohydrate choices should come from whole grains breads or cereals, pasta, brown rice, beans, fruits and vegetables. Increasing dietary fiber is a general guideline for the entire population rather than specifically for people with diabetes. Portions and type of carbohydrate affect calories and is reflected by weight and blood glucose control. Learning to read labels for total carbohydrate rather than sugar provides the best information for blood sugar control.


Limit sources of high-calorie and low-nutritional-value foods, including those with a high content of sugars. Sugar-containing foods should be substituted for other carbohydrate sources (such as potatoes) instead of just adding them on to the meal.

A registered dietitian can help you best decide how to balance your diet with carbohydrates, protein and fat

Answer 2

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Answer 3

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Answer 4

While the answer already provided is very detailed, I strongly suspect that his diabetes was caused by the tablets he takes to stop his body from rejecting the kidney you gave him. The tablets that cause it are called steroids and he is probably taking prednisolone (or something similar).
I am a nurse in Australia and worked for several years in a heart and lung transplant unit. Steroid induced diabetes is a well known and relatively common complication in transplant patients, but it can be easlily managed.
Best of luck.