This blog tracks updates to the Blood Sugar 101 Web site.

Sunday, April 18, 2010

Potentially Dangerous Drugs for People with Type 2 Diabetes and Kidney Disease

Page changed: Diabetic Kidney Damage

Added this text:

Other Potentially Dangerous Pharmaceutical Drugs. The following prescription medications are capable of causing problems in people who already have significant kidney damage:

a. ACE inhibitors and ARBs. These drugs protect the kidneys in most people, but if you have a condition called "renal artery stenosis" they may be harmful.There is a test, the Captopril Scan, that can be done to ensure you respond appropriately to these kinds of drugs if there is any question that you might have renal arterial stenosis.

b. Radioacontrast agents used during angiography. According to this review published in Endocrine Today up to 35% of people with diabetes may experience acute renal failure when given these during angiograms. Proper hydration appears to be the appropriate defense. Discuss this issue with your doctor before you find yourself in a hospital having tests done by doctors who don't have your chart. If you are at risk, make sure that information is available at any hospital you might be taken to.

c. Antibiotics. These can occasionally cause kidney failure, too. Again, this is mainly a problem if you have serious kidney damage. If you do ask the doctor who treats your diabetes before you take ANY medication prescribed by another doctor who may not know the details of your case

Endocrine Today: Medications that worsen renal function in diabetes


country mouse said...

I have very early stage kidney problems (proteinea) and I suspect I will be put on an ACEi or ARB in the very near future. When I spoke with my doctor, he told me to stop taking aspirin or ibuprofen and only use Tylenol because of the potential of further aggravation of kidney problems.

life sucks and then your body tells you it wants you dead.

Jenny said...

Country mouse, as long as your body is telling you anything, you are in a lot better shape than all those other people your age who are already dead. I get to remind myself of this at least once a week, lately.

pjnoir said...

I can't imagine being in front of a doctor and NOT telling him you are diabetic, though I can believe a Doctore not paying any attention to what was said. And when you can't talk, get one of those diabetes medical braclets. I wonder if there is a (way) cool tattoo a diabetic could wear. Any thoughts?

Jenny said...

pjnoir, You are assuming you're conscious,in your right mind, and/or able to talk when you see the doctor. After an accident or stroke, this might not be the case.

Even when you are able to communicate, you might be surprised at how little attention the doctors pay to what you tell them or how little they remember of even important information.