diabetestalk.net

Renal Tubular Acidosis

Share on facebook

Proximal Renal Tubular Acidosis

Renal tubular acidosis - proximal; Type II RTA; RTA - proximal; Renal tubular acidosis type II Proximal renal tubular acidosis is a disease that occurs when the kidneys don't properly remove acids from the blood into the urine. As a result, too much acid remains in the blood (called acidosis ). The kidneys are responsible for removing wastes from the body, regulating electrolyte balance and blood pressure, and the stimulation of red blood cell production. This is the typical appearance of the blood vessels (vasculature) and urine flow pattern in the kidney. The blood vessels are shown in red and the urine flow pattern in yellow. When the body performs its normal functions, it produces acid. If this acid is not removed or neutralized, the blood will become too acidic. This can lead to electrolyte imbalances in the blood. It can also cause problems with normal function of some cells. The kidneys help control the body's acid level by removing acid from the blood and excreting it into the urine. Acidic substances in the body are neutralized by alkaline substances, mainly bicarbonate. Proximal renal tubular acidosis (Type II RTA) occurs when bicarbonate is not properly reabsorbed by th Continue reading >>

Share on facebook

Popular Questions

  1. FitCoachTina

    New to Keto & Overheating?

    I've been following a Keto diet (60/35/5) for the last 6 days. Been in ketosis according to Ketostix since the second morning and down 5 lb already (water Im assuming). I'm a 39 yo female @ 188 this a.m and 43% bf (scale not calipers) eating 1500-1800 cal. Here's my question:
    I am hot all the time...almost to the point of breaking a sweat. Is this common? Maybe due to my metabolism speeding up? I noticed it a bit on day 2, by day 4 it was on and off for most of the day and woke up sweating last night w/just a sheet. It's not hot in the house or outside (about 75).
    The other thing I've notice is that I'm still exhausted. I havent had any energy to do any cardio or weights for the last 5 days and I was working out 30-60 min/day (HIIT, weights & MISS cardio). Any ideas when thus should lift?
    Thx for the help!

  2. Blackjack68

    Some people call it "induction flu", and it's pretty common. It's your body adjusting to using the fuel it evolved to use for the first time in your life. Stick with everything, you should be past it very soon, then you'll feel better than ever and your energy will go way up.
    With that said.... sweating is one of the symptoms of being hypoglycemic (nothing to play around with). Any diabetics in the family you could have check your blood glucose levels?

  3. FitCoachTina

    Originally Posted by Blackjack68
    S
    With that said.... sweating is one of the symptoms of being hypoglycemic (nothing to play around with). Any diabetics in the family you could have check your blood glucose levels?

    I was actually diagnosed w/hypoglycemia years ago but never told a cause, no matter which doctor or specialist I saw. Been watching my blood sugars several times a day (which also explains some of the light-headedness at times.) I've been doing really well there, staying between 88-125 (its rare for me to ever go higher than that). This morning it was in the low 60s but it came right up w/coffee and cream. I'll try something w/fat before bed and see if that helps.
    Thanks for the input!

  4. -> Continue reading
read more close
Share on facebook

Vetfolio

This article discusses the pathophysiology, causes, diagnosis, treatment, and prognosis of renal tubular acidosis (RTA) in veterinary patients. RTA is classified as a non-anion-gap metabolic acidosis in the presence of a normal glomerular filtration rate. Proximal RTA occurs because of a deficiency in bicarbonate resorption in the proximal tubule, whereas distal RTA occurs because of decreased production of bicarbonate in the distal tubule. RTA can be transient or permanent and can occur secondary to other diseases. Therapy includes bicarbonate supplementation with careful acid-base and electrolyte monitoring and treatment of underlying causes. There are few published discussions of renal tubular acidosis (RTA) in the veterinary literature despite the abundance of reports of such disorders in humans. Although it is possible that the incidence of such conditions in small animals is less than that in humans, it is also plausible that tubular disorders are overlooked in veterinary patients (Table 1). RTA typically causes metabolic acidosis with both a normal anion gap and normal glomerular filtration rate (GFR). In contrast, renal failure is often associated with an increased anion g Continue reading >>

Share on facebook

Popular Questions

  1. KOSHIE1

    Fiber holds water directly and indirectly and moves slower through the gut. When on the "colonoscopy-prep diet" to clean out my gut, I lost 4 pounds of you-know-what, whilst drinking a prodigious amount of water. OF COURSE that was promptly regained when I could start eating food again. So adding fiber to your diet might be a direct cause of weight gain (on the scale! I'm not talking water or fat, just pounds!).
    Then again, you could be sensitive to dairy; IDK! Then again, it could be that you are not watching your portions or calories consumed. This is my personal problem; it always is that I simply eat TOO much -- which is possible even on a LC diet (I do Atkins).


    current weight: 206.0



    210

    193.75

    177.5

    161.25

    145

  2. SHEENG

    Hi all....this sounds like me.
    My first week I dropped 6 # ( water)
    second week nothing
    and just finished third week nothing.
    The scales do bounce a little day to day but end of week it remains no loss.
    I feel "skinnier" and clothes little roomier and no bloated feeling.
    I have lots to lose. I have not cheated for 3 weeks. Don't mind doing this but it can be very
    Rewarding to see the numbers go down. I see many people on this diet and it has them continuously Dropping pounds without added exercise and without counting calories.
    I do both.
    So you are not alone and I think there is a key somewhere but I don't know what it is.
    If you find it please let me know.
    Keto strips are purple.
    Edited by: SHEENG at: 4/25/2017 (08:05)
    ....as for me and my house,
    we will serve the Lord Joshua 24:15


    Pounds lost: 1.2



    0

    2.25

    4.5

    6.75

    9

  3. MARIAFO1

    Hi, really interested in this post. I've been on Atkins 5 weeks and have lost 8lbs. This was mainly in the first 3 weeks. The last 2 weeks I've lost 1lb and 0.5lb. I'm interested because you are counting calories as well? If so, do you count fat and protein and what do you recommend these to be?
    Any help is appreciated, thank you.
    Slow Loser

    current weight: 134.8



    154

    146.75

    139.5

    132.25

    125

  4. -> Continue reading
read more close
Share on facebook

Renal Tubular Acidosis Key Highlights - Epocrates Online

Patients with renal tubular acidosis (RTA) are often asymptomatic but may present with complaints of muscular weakness related to associated hypokalemia. Patients with severe acidemia can show hyperventilation or Kussmaul breathing due to respiratory compensation. Patients with RTA have a low arterial pH and serum bicarbonate with hyperchloremia and a normal serum anion gap. The urine pH exceeds 5.5 in classic distal RTA, but is lower than 5.0 in patients with untreated proximal RTA and is low also in hyperkalemic distal RTA. Alkali therapy is the mainstay of treatment. Potassium supplementation may be required for hypokalemia, and low-potassium diets are used if hyperkalemia is present. If hyperkalemic distal RTA is due to mineralocorticoid deficiency, fludrocortisone can be given unless it is contraindicated due to the presence of fluid overload or uncontrolled hypertension. Proximal RTA occurs most often as a component of Fanconi syndrome, which is characterized by generalized dysfunction of the proximal tubule, with the resultant urinary loss of bicarbonate, calcium, phosphate, urate, amino acids, glucose, and other organic acids and bases. In children, Fanconi syndrome causes Continue reading >>

Share on facebook

Popular Questions

  1. xenia

    I have a few questions about a ketogenic diet.
    1) Lately, I have probably been eating less than 50 grams of carbs a day. Is this ketogenic?
    2) If someone is on a ketogenic diet, does this require urine testing at home? Is this suggested or necessary? Do you?
    3) Are there known risks for being on a severely carb restricted diet that one should be aware of?
    I seriously dont want to "hassle" with counting carbs, so I've thought to myself I will cut out the obvious ones then I wont have to count. Most recently, I've eliminated breads, rice, pototoes, sweets, and only eat carbs that end up in nuts, yogurt, low carb veggies, berries, etc. So based on that I am guessing that I eat 60 g of carbs a day, or less. Possibly much less on many days.
    Today for breakfast, I had scrambled eggs with sauteed peppers, and chedder cheese.
    Lunch was a small bowl of broccoli cheddar soup, with less than 10 grams of carbs (per the container)
    Supper was a 7 oz hamburger with about 3/4 cup strawberries. It was an early supper so I will have some Greek yogurt with nuts or something later.
    How does that sound?
    Yesterday, for breakfast I had a chocolate protein drink and 3 brazil nuts
    Lunch - turkey lunch meat, a couple slices of cheddar cheese, and a big handful of grape tomatoes.
    Now here is the clincher: For supper, I made some homemade "chicken pot pie mixture" and I didnt have it with the biscuit on top. I knew that I put flour in there, to thicken the sauce, and peas and carrots with carbs. I knew it was not a pristine choice (my husband couldnt stop raving, of course) I think it was the "Pizza Effect" I've heard about through this support community, as my BG didnt rise too much immediately after that - 118 at one hour, and 96 at two hours I was shocked, actually. But when I went to bed, it was 128! (I realize that it could have risen, "just because" as well.) For me, at that hour, that was a lot. And then all day today, higher than normal, even with low carb eating and a 30 minute walk.
    So I feel like I HAVE to basically eliminate most carbs from my life to maintain AS NEAR TO NORMAL NUMBERS AS POSSIBLE - is my goal. My ideal would be most of the day, under 100. Which means a very low carb, or ketogenic ? diet.
    Which is why I need to know more, from your perspective, about this diet. I LOVE my doctor, he's the greatest, but he is still suggesting 40 g of carbs at each meal. We've had plenty of discussion about that mindset. My dietician, too.
    So what do YOU think about a ketogenic diet - its safety, whether you need to test your urine for ketones, what numbers of carbs actually constitute a ketogenic diet? Does what I am doing sound like a ketogenic diet (minus the pot pie, no biscuit?)

  2. lowcarbwalking

    Hi Xenia,
    Here is my experience with doctors and a ketogenic diet:
    1. Internal medicine doctor who diagnosed me with diabetes:
    She had one patient who used the Keto eating method and it worked/s for him. She did not know enough about it to tell me how to do a ketogenic diet. She said, find info on the the web or get a book.
    2. My longtime endocrinologist:
    WHAT!?! A Keto Diet, that will make you sick. Very bad idea, don't do it, I don't recommend it.
    3. What I did:
    Read the book, "Art and Science of Low Carbohydrate Eating" and Dr Bernstein's book, " Diabetes Solution". Both were in my local library.
    4. MY RESULT: Stayed on a Keto diet for 18 months. Lost 72 pounds without counting calories. BLood glucose numbers returned to normal. Have had normal range a1c's for last 6.5 years eating 50-70 grams of carb a day. 50-70 grams a day of carb does not put me into the Keto range.
    5. Last Visit with the ENDO who told me KETO was a bad idea:
    Saw my Endocrinologist this past Monday. She praised me highly for another A1c in the normal range and fasting blood glucose test in normal range. She says she does not consider me to have diabetes any longer and writes in my chart each time I see her: No clinical evidence of diabetic disease
    I have Keto test strips but only use them when I am ill to check to see if I have ketones and need to go to urgent illness for rehydration and anti nausea medication
    Different people get to the stage of having ketones at different levels of low carb eating. It depends on your body size, activity level,and possibly other medical conditions. Most women will not be in the Keto range at 50 plus grams of carb. Most people will be in Keto range if they eat a total of 20-30 grams of carb a day. It takes a few days to maybe a week of eating very low carb to attain Keto range.
    There are a number of closed Facebook groups you can join that are all about the Keto way of eating.
    More and more doctors and other medical professionals are coming around to using low carb including Keto diet as a recommendation for people with diabetes.
    There are and have been a number of poeple on this forum over the years that have done Keto or are doing Keto.

  3. maryd98

    I've read quite a few posts here from different people who've either tried a keto diet or who follow it regularly. I've never done it myself, but it seems to work for some people.
    Personally, I feel like the more 'balanced' I can make my meals/snacks, the more I'm able to stick with the plan over the long haul. I don't like the idea of cutting out any food group --or even any particular foods--except the ones I don't like! I do avoid dairy, because I'm lactose intolerant, but I have things like soy milk and vegan/veggie/nut cheese. If I have regular dairy, I get sick, so it's easy to cut that out.
    I focus on my BG trends and patterns more than on specific numbers on specific days. I do not try to maintain non-diabetic BG numbers 100% of the time. Still, the goals I've set are attainable and have kept me in good health; after living with T2 diabetes for 18+ years, I manage it without meds and have no signs of compications (knock on wood!).
    We each have to find our own way to live with diabetes and manage it so that we avoid complications. I would not advise anyone to follow a ketogenic diet, but like I said, I have read of people who do follow it, and they seem to be happy with it. I've read some negative comments, too, by some who've tried it. There's no single plan that works for everyone with T2 diabetes.
    I wish you good luck and good health as you continue on your journey!

  4. -> Continue reading
read more close

No more pages to load

Related Articles

  • What Are The Symptoms Of Renal Tubular Acidosis?

    Does your child complain of intense pain when he is urinating? Does he exhibit any obvious growth impairments? If you nodded along anxiously, you might want to consult the doctor, as he may be suffering from renal tubular acidosis or RTA. In the meanwhile, read our post below to learn more about Renal Tubular Acidosis symptoms, causes, types and treatments in children. What Is Renal Tubular Acidosis? Renal tubular acidosis or RTA is a disorder in ...

    ketosis May 2, 2018
  • What Is Distal Renal Tubular Acidosis?

    Renal tubular acidosis (RTA) is acidosis and electrolyte disturbances due to impaired renal hydrogen ion excretion (type 1), impaired bicarbonate resorption (type 2), or abnormal aldosterone production or response (type 4). (Type 3 is extremely rare and is not discussed.) Patients may be asymptomatic, display symptoms and signs of electrolyte derangements, or progress to chronic kidney disease. Diagnosis is based on characteristic changes in uri ...

    ketosis Apr 25, 2018
  • Renal Tubular Acidosis Causes

    URL of this page: //medlineplus.gov/ency/article/000497.htm Proximal renal tubular acidosis is a disease that occurs when the kidneys don't properly remove acids from the blood into the urine. As a result, too much acid remains in the blood (called acidosis ). When the body performs its normal functions, it produces acid. If this acid is not removed or neutralized, the blood will become too acidic. This can lead to electrolyte imbalances in the ...

    ketosis May 2, 2018
  • Renal Tubular Acidosis Treatment

    Renal Tubular Acidosis: Symptoms & Treatment Watch short & fun videos Start Your Free Trial Today Log in or sign up to add this lesson to a Custom Course. Custom Courses are courses that you create from Study.com lessons. Use them just like other courses to track progress, access quizzes and exams, and share content. Organize and share selected lessons with your class. Make planning easier by creating your own custom course. Create a new course ...

    ketosis May 2, 2018
  • Renal Tubular Acidosis

    This article discusses the pathophysiology, causes, diagnosis, treatment, and prognosis of renal tubular acidosis (RTA) in veterinary patients. RTA is classified as a non-anion-gap metabolic acidosis in the presence of a normal glomerular filtration rate. Proximal RTA occurs because of a deficiency in bicarbonate resorption in the proximal tubule, whereas distal RTA occurs because of decreased production of bicarbonate in the distal tubule. RTA ...

    ketosis Mar 31, 2018
  • Renal Tubular Acidosis Symptoms

    Symptoms and Signs, Complications of Renal Tubular Acidosis Written by dr. simi paknikar |Medically Reviewed by Dr. Sunil Shroff , Senior Consultant Urologist & Transplant Surgeon on Jan 04, 2017 The patient may show symptoms of the underlying disease. Complications include growth retardation, bone disease and kidney disease. A patient with Renal Tubular Acidosis (RTA) may not suffer any symptoms. The condition may be detected only when the pati ...

    ketosis Apr 27, 2018

More in ketosis