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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 63757
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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My father who lives overseas has Diabetes Type 2 and his

Customer Question

My father who lives overseas has Diabetes Type 2 and his kidneys are leaking proteins. He's already taking insulin injections daily. I wanted to see who can I consult to see if there's anything here in the US that may help him.
Submitted: 2 months ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 2 months ago.


I am a double board certified US doctor.

I will be happy to answer this question. Use reply to communicate with me.

He needs to see a nephrologist.

The treatment in this situation is in two parts

a. ACE inhibitor medications. These slow the progression of the renal failure.

b. Low protein diet/vegetable protein only diet. This can slow and even reverse some of the damage and the diabetes.

He would also need to have this monitored by both the nephrologist and a dietitian.

There is no magic bullet for this, or instant "cure."

OK, so you might have more questions or want to give me more information: Please use reply to expert if you have further questions. Also, please click a positive rating [hopefully excellent (5)—that’s how we are paid, per rating]. If you forgot something, just use reply and come back. I am here

Expert:  Nadim Al-Mubarak replied 2 months ago.


  • The above advise is valid if we can confirm that your dad's issue is related to his diabetes, which is possible but might not be
  • Just because your dad has diabetes, it does not necessery mean the protein in his urine is related. The amount of the protein leakage in the urine needs to be estimated and other causes of proteinuria need to be considered and treated. In most of these ACE inhibitors are not helpful.
  • It is critical to nail down the culprit of the proteinuria in order to design an effective treatment plan

Best wishes

Expert:  Dr. Thomas, MD replied 2 months ago.


Leaking protein in the kidneys in a diabetic is almost always from the diabetes.

It is Helped with a low protein diet and ACE inhibitors.

A nephrologist would confirm this.