Radical nephrectomy: type 2 diabetes remission through lifestyle change in geriatric patients
Radical nephrectomy: type 2 diabetes remission through lifestyle change in geriatric patients
Research deals with the relationship between diabetes mellitus and renal cell carcinoma, a kind of kidney cancer. It is examined how a well -planned lifestyle can help treat patients with both illnesses. In this case study, a 64-year-old man with type 2 diabetes, who has undergone a radical nephrectomy (surgical removal of a kidney), underwent an intensive one-year lifeline intervention.
This intervention included a vegan diet, regular fasting, sport, psychological support and medical care. After a year of this intervention, there were significant improvements in the patient's state of health: his diabetes went into remission, he lost significantly in weight, and his blood values improved so that he no longer needed medication for cholesterol or diabetes.
These results indicate that changes in the lifestyle can play a promising role in the treatment of complex health states, especially in patients with a history of kidney diseases and diabetes.
Future developments and effects on previous practices:
These results could change future medical practices by encouraging doctors to recommend more comprehensive lifestyle changes than part of the treatment of diabetes and cancer. Personalized lifestyle events could be superior to standard treatment approaches, especially because they not only combat the symptoms of diseases, but also address their underlying causes.
Foundations and terms:
- diabetes mellitus: A chronic disease that affects the body's sugar metabolism, which leads to high blood sugar levels.
- renal cell carcinoma: A kind of kidney cancer that begins from the cells that line the small channels in the kidneys.
- nephrectomy: surgical removal of one or both kidney.
- Type 2-diabetes (T2D): The most common form of diabetes in which the body does not use insulin properly.
- lifestyle intervention (Ili): changes in everyday lifestyle that improve health and well -being.
- glycosed hemoglobin (HBA1C): a blood test that measures the average blood sugar of the last two to three months.
- intermittent fasting: a meal strategy in which meal times are alternated with fasting times.
- vegan nutrition: a diet based on vegetable foods and excludes all animal products.
| before | afterwards
| ||
|---|---|---|---|
| hba1c | > 6.5% | <6.5% | <6.5% |
| cholesterol | 175 mg/dl | 127 mg/dl | <200 mg/dl |
| triglyceride | 155 mg/dl | 73 mg/dl | <150 mg/dl |
abbreviations:
- T2D: type 2 diabetes
- ili: intensive lifestyle intervention
- hba1c: glycosylated hemoglobin
Influence of lifestail events on diabetes mellitus in patients with renal cell carcinoma
This study examines the significant influence of diabetes mellitus on the survival of patients with kidney cell carcinoma who undergo nephrectomy and emphasizes the need for personalized care. The focus is on a case study approach that describes an intensive life-hail intervention (ILI) in a patient with type 2 diabetes (T2D).
methodology and intervention
The case described involved a 64-year-old man with T2D who underwent a radical nephrectomy. The patient agreed to a 1-year-old Ili, which included the following components:
- vegan diet to reduce calorie intake and promote kidney health
- intermittent fasting
- Regular physical activity
- Psychological support
- Medical surveillance and management
The patient's monitoring included quarterly biochemical reviews and monthly adherence ratings.
results
After the intervention, the patient showed a remission of diabetes, with an HBA1C value below 6.5% (48 mmol/mol) without medication. Other important improvements were:
- weight loss of 36 kg, which means that the body mass index (BMI) decreased from 35.3 to 25.1
- normalization of the lipid profile
- improved serum creatinine and highly sensitive C-reactive protein levels
- Normal glucose tolerance over a period of 2 years without the recurrence of symptoms.
biochemical parameter
| parameter
| after the Ili
| ||
|---|---|---|---|
| HBA1C (%/mmol/mol) | > 6.5%/> 48 mmol/mol | <6.5%/<48 mmol/mol | <6.5%/<48 mmol/mol |
| total cholesterol (mg/dl/mmol/l) | 175/4.53 | 127/3.29 | <200 mg/dl/<5.18 mmol/l |
| triglyceride (mg/dl/mmol/l) | 155/1.75 | 73/0.82 | <150 mg/dl/<1.69 mmol/l |
The case described in this study underlines the potential of lifestyle changes in the treatment of T2D in patients with a history of nephrectomy. The study particularly emphasizes the importance of well -structured, personalized lifestyle intervention to improve metabolic health and to promote happiness in the long term.
For further information and the viewing of the original study, visit the external link: https://pubmed.ncbi.nlm.nih.gov/39544889 .