Posted inDr. Roach

What to eat with prediabetes and kidney failure

DEAR DR. ROACH: I have been diagnosed with prediabetes (A1c 5.8) and kidney failure (eGFR 58, creatinine 0.97). I am confused about which problem to address through diet. I was advised to eat wheat bread and oatmeal for breakfast, and now I am told that wheat and oatmeal are not good for my kidneys. I […]

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Posted inDr. Roach

Particular packaging for medicing by mail

DEAR DR. ROACH: I get all of my medicine by mail. Since the manufacturers stress keeping the pills at cool room temperatures, I wonder what the excessive heat does to them. The medicine must cook all day in the mailbox — way over 100 degrees here in Florida. I wonder how much the pills or […]

Posted inDr. Roach

Are genes responible for reader’s AMD?

Are genes responible for reader’s AMD? DEAR DR. ROACH: When my daughter was pregnant, she was tested for blood abnormalities and was told she has factor V Leiden and PAI-1 4G/5G. She suggested that I be tested, because with my firstborn I had an emergency C-section for hemorrhaging due to placenta abruption, and with her […]

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Tips for reducing eye strain DEAR DR. ROACH: Would you mind providing some guidelines for preventing eye strain? I’m a graduate student, so I spend a lot of time reading, both from computer screens and from books. I will always need to read to get things done, but I’d also like my eyes to last […]

Posted inDr. Roach

Metformin treats insulin resistance in diabetes

DEAR DR. ROACH: My friend’s wife, who is 70, has a fasting glucose level of around 200. She is perhaps 40 pounds overweight with blood pressure of around 145/80. I do not think she eats an excessive amount of carbohydrates. She does take a lot of nutritional supplements. How long would it take a drug […]