Adjust Text Size:

I am a type 2 diabetic, and a veteran exposed to agent orange. Recently my blood work showed an eGFR of 58. Should I think about changing my diet?


I am a Type 2 diabetic with A1c tests ranging between upper 6's and lower 7's. Recently my blood work showed an eGFR of 58. I realize this is border line between Stage 2 and 3 CKD. I am wondering if now is a time to be more concerned about my diet. Do I need to get with my dietitian and change my diet?

PS: When I examine my genealogy, I know of no other evidence of diabetes. I am a Vietnam War veteran and unfortunately had exposure to agent orange. I can say that with exposure, diabetes is a preemptive condition for the VA. While there is a clear connection between diabetes and CKD, I can not say with certainty what the connection is between exposure and CKD.

Your serum eGFR value of 58 suggests early kidney disease, although other labs such as creatinine and urinary microalbumin will provide additional information about how well your kidneys are working. Worsening renal function usually occurs as a result of elevated blood sugar, blood pressure, or both. At this point, a renal diet (low protein, low sodium) isn't necessary. Although your A1c suggests fair blood sugar control, I would recommend testing your blood sugar 1-2 hours after eating to make sure it remains below 140 mg/dL.

I'm not aware of a connection between agent orange exposure and CKD; however, as you state, it has been linked to type 2 diabetes, which can lead to CKD if not well controlled.

Answered By dLife Expert: Franziska Spritzler, RD, CDE

Certified diabetes educator and registered dietitian living in Southern California.

I am a type 2 diabetic, and a veteran exposed to agent orange. Recently my blood work showed an eGFR of 58. Should I think about changing my diet?
5 (100%) 1 vote


Disclaimer

The content of this website, such as text, graphics, images, and other material on the site (collectively, “Content”) are for informational purposes only. The Content is not intended to be a substitute for, and dLife does not provide, professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. If you think you may have a medical emergency, call your doctor or 911 immediately. dLife does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on this site. Reliance on any information provided by dLife, its employees and other contributors or visitors to this site is done solely at your own risk. Any information you submit to dLife or this site may be published on this site and in other dLife products. dLife retains all rights to all contributions including submitted questions and expert answers.




Featured Questions


What kinds of foods should I eat to bring up my potassium level?

Potassium blood levels must be maintained within a very narrow range. Too little potassium or too much potassium can both cause problems.

Read More


Is Weight Watchers a good plan to follow?

Weight Watchers is a weight loss method based on changing eating habits, watching portion sizes of high-calorie foods, and providing peer support.

Read More


Does neuropathy occur only in the extremities?

Neuropathy is damage to nerves that may result from several causes, including elevated blood sugar levels.

Read More


When my mother came home from the nursing home, they said she did not need insulin any longer. Is this possible?

Insulin is often used in hospital and nursing home settings, in accordance with American Diabetes Association guidelines stating that it as the preferred method for achieving and maintaining blood sugar control during hospitalization.

Read More


dLife Emails

Take a dLife Quiz

Test your diabetes knowledge with a fun and informative quiz.

View All Quizzes